Bronchobiliary Fistula: A Rare Complication After Pancreaticoduodenectomy

Odufalu, Florence-Damilola; Zubairu, Josiah; Silverman, William B.

doi:10.14309/00000434-201610001-01213

Cited by 4 publications

(6 citation statements)

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“…2,3 Not uncommonly, a yellowish-greenish sputum can be thought of as purulent, so an analysis was warranted as to determine the presence of bile. 4,8 In the case of our patient, the second time she visited the emergency department, she had already complained of productive cough; it was highly probable that this was suggestive of the BBF a year before definitive diagnosis.…”

Section: Discussionmentioning

confidence: 68%

“…3 This process is a consequence of an abnormal communication between the abdominal and thoracic cavities, which is created by a fistulous tract from the biliary tree, pleural space and lung parenchyma to the respiratory tract. 4 Bilioptisis is pathognomonic for BFF2 and it is usually accompanied by productive cough and fever. 1,2 The causes can be congenital or acquired, the latter include multiple etiologies that can be divided in infectious, obstructive, traumatic or iatrogenic processes.…”

Section: Introductionmentioning

confidence: 99%

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Bronchobiliary fistula: a rare complication after biliodigestive surgery for bile duct injury

et al. 2022

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A bronchobiliary fistula (BBF) is an abnormal communication between the biliary and bronchial systems. It is a rare condition with an unclear etiology. The principal causes are hepatic hydatid cysts, obstructive and iatrogenic processes. Presenting symptoms are variable and range from productive cough to recurrent pneumonia. The finding of bilioptisis is patognomonic. This case report presented a 22-year-old female patient who underwent a Roux-en-Y hepaticojejunostomy (RYHJ) for a bile duct injury and who later on, developed a bronchobiliary fistula.

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Section: Discussionmentioning

confidence: 68%

Section: Introductionmentioning

confidence: 99%

Bronchobiliary fistula: a rare complication after biliodigestive surgery for bile duct injury

et al. 2022

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“…The techniques currently available include nasobiliary drainage or endoscopic sphincterotomy with biliary endoprostheses. These procedures greatly treat post-operative and posttraumatic biliary leaks [ 9 - 12 ], and they are the first line of treatment in these cases.…”

Section: Discussionmentioning

confidence: 99%

Biliary Stent Obstruction Leading to Bronchobiliary Fistula: A Rare Case Report

Achalla¹,

Shinde²,

Jogdand³

et al. 2022

Cureus

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Bronchobiliary fistula (BBF) is a rare complication encountered by surgeons, most commonly during the follow-up of surgically managed patients with inflammatory, traumatic, or neoplastic pathologies involving the hepatobiliary tree. We present an operated case of liver hydatidosis with biliary stent obstruction with complaints of bitter green colored sputum and upper abdominal pain. The patient underwent an ERCPguided stent extraction with reinsertion of a common bile duct stent with complete removal after six weeks. Post operatively, the patient is doing well on follow-up. This complication could be prevented by regular follow-up and timely removal of the placed stents, as a prolonged stay of stent insitu could lead to blockage, leading to complications such as bronchobiliary fistula. Thus, it is concluded that judicious follow-up plays a pivotal role, and timely removal of the stents could prevent such avoidable delayed complications.

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“…There is only one case of a supposed spontaneous BBF in the literature [7]. When BBF is the consequence of an iatrogenic surgical injury, it occurs as late complication at the latest within a year, even when surgery is not closely liverlinked [8,9].…”

Section: Etiology and Pathogenesismentioning

confidence: 99%

Spontaneous bronchobiliary fistula: Case report

2020

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Bronchobiliary fistula (BBF) is a rare condition that results from the communication between the bile ducts and the bronchial tree. It is characterized by the presence of bile in the sputum as pathognomonic symptom, and it is often associated with suspicious pneumonia. The most common causes include infections (e.g. echinococcosis), hepatobiliary surgery, blunt torso traumas, tumors and percutaneous transhepatic procedures. Opinions about BBF treatment are still controversial as it can be treated by both conservative and surgical procedures, while pharmacological treatments are only rarely used. This case report presents a patient who had been diagnosed with chronic BBF of unknown cause, underwent several ineffective conservative procedures and was at last surgically treated.

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Bronchobiliary Fistula: A Rare Complication After Pancreaticoduodenectomy

Cited by 4 publications

References 0 publications

Bronchobiliary fistula: a rare complication after biliodigestive surgery for bile duct injury

Bronchobiliary fistula: a rare complication after biliodigestive surgery for bile duct injury

Biliary Stent Obstruction Leading to Bronchobiliary Fistula: A Rare Case Report

Spontaneous bronchobiliary fistula: Case report

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