- 21 Downloads
Bronchobiliary fistula is an infrequent manifestation of common bile duct obstruction. The slowly progressive narrowing of the common duct by the fibrosis of chronic pancreatitis is an even more rare mechanism of such fistula formation with only two cases having been reported previously. A third case of bronchobiliary fistula caused by chronic pancreatitis is presented and its successful management is discussed.
A 54-yr-old male with known chronic pancreatitis presented with a cough productive of copious amounts of bile and with pulmonary infiltrates.
Diagnosis of bronchobiliary fistula was made based on HIDA scan and confirmed by operative cholangiogram.
Successful correction of this fistula was accomplished by operative closure of the fistulous tract and diversion of the narrowed bile duct by hepaticojejunal bypass.
Key WordsBronchobiliary fistula chronic pancreatitis HIDA bronchogram
Unable to display preview. Download preview PDF.
- 3.Morton JJ, Phillips EW. Bronchobiliary fistula. Review of recorded cases other than those due to Echinococcus and amebiasis abscess.Arch Surg 1928; 16: 698.Google Scholar
- 4.Yamaguchi M, Kanamori K, Fujimura M, Watanabe Y, Matsuda T. Bronchobiliary fistula in adults.Southern Med J 1990; 83: 851–852.Google Scholar
- 5.Hansen M, Hoier-Madsen K. A bronchobiliary fistula probably due to exacerbation of chronic pancreatitis.Ann Chir Gynecol 1985; 74: 36–39.Google Scholar
- 6.Watters DAK, Barker EM, Kalideen JM. Bronchobiliary fistula after chronic pancreatitis.SA Med J 1984; 66: 576–577.Google Scholar