Congenital Bronchobiliary Fistula in Adults

Yamaguchi, M.; Kanamori, Karina S.; Fujimura, Masaki; Watanabe, Yujiro; Matsuda, Tomomichi

doi:10.1097/00007611-199007000-00032

Cited by 20 publications

(6 citation statements)

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“…In some cases, n-butyl cyanoacrylate or histoacryl embolization through the fistula tract under bronchoscopic guidance were used for BBF management. 7 8 Yamaguchi et al 9 reported a case of congenital BBF in which the patient was diagnosed by bronchoscopy and bronchography, and treated by excision of the fistula.…”

Section: Discussionmentioning

confidence: 99%

Two cases of bronchobiliary fistula: Case report

Shim

Han

Park

et al. 2018

Ann Hepatobiliary Pancreat Surg

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A bronchobiliary fistula, or a biliobronchial fistula (BBF), is a rare condition. It results from an abnormal connection between the biliary and bronchial trees, and is characterized by pathognomonic bilious sputum with suspicious pneumonia. Traditionally, an infectious disease, such as a hydatid infection, has been known to cause a BBF, but BBFs have recently become associated with tumors. In every case, procedures and treatments differ between centers, from simple conservative management to invasive surgical procedures. This case report presents two patients who had BBF after liver resection. Symptoms of each patients were treated and controlled successfully by percutaneous transhepatic biliary drainage tube insertion. We hope that this report helps in the management of BBF in other cases.

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Section: Discussionmentioning

confidence: 99%

Two cases of bronchobiliary fistula: Case report

Shim

Han

Park

et al. 2018

Ann Hepatobiliary Pancreat Surg

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“…Of these, only 4 were in adults, aged 22 to 32 years (5,(7)(8)(9). The present patient is the fifth and oldest patient with CBBF ever reported.…”

Section: Cbbf Is a Rare Condition More Common In Girls Than In Boysmentioning

confidence: 72%

“…Only 29 cases have been reported mostly in children (1)(2)(3)(4)(5)(6)(7)(8)(9)(10)(11). Because patients with CBBF usually manifest respiratory symptoms from early infancy, the condition is diagnosed at an early age on the basis of bilious sputum and/or recurrent airway infections (2)(3)(4).…”

Section: Congenital Bronchobiliary Fistula (Cbbf) Is Uncommonmentioning

confidence: 99%

Congenital Bronchobiliary Fistula in a 65-year-old Woman

et al. 2008

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“…As a result, 42 cases were reviewed and data on demographic details, type of fistula, associated anomaly, management, and reported outcomes were collected. The data was abstracted into the evidence table template ( Table 1 [ 1 - 39 ]).…”

Section: Study Identificationmentioning

confidence: 99%

Congenital bilio-bronchial fistula in an adult: a review of literature and video demonstration of laparoscopic fistula tract excision

Murugesan,

Bai,

Pottakkat

et al. 2024

J Minim Invasive Surg

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This article presents a review of the literature on congenital bilio-bronchial fistula (BBF), a rare anomaly characterized by abnormal communication between the bile duct and respiratory tract. Congenital BBF often presents with bilioptysis in early neonates and infants; however, patients with no overt symptoms may occasionally present in adulthood. Our literature search in Medline from 1850 to 2023 revealed 42 reported cases of congenital BBF, primarily managed with thoracotomy and excision of the fistula tract. About one-third of these cases required multiple surgeries due to associated biliary anomalies. The review underscores the importance of diagnostic imaging, including bronchoscopy, in identifying and delineating the extent of the fistula. It also highlights the evolving surgical management, with recent cases showing the efficacy of minimally invasive approaches such as laparoscopy and thoracoscopy. In addition to the literature review, we report a young female patient with a history of recurrent respiratory infections presenting with bilioptysis and extensive left lung damage. Initial management included bronchoscopy-guided glue instillation, left thoracotomy, and pneumonectomy. Following the recurrence of symptoms, the patient was successfully treated with laparoscopic excision of the fistula tract. In recent times, minimally invasive approaches such as laparoscopy and thoracoscopy, with excision of the fistula tract are gaining popularity and have shown good results. We suggest biliary communication being the high-pressure end, tackling it transabdominal may prevent recurrent problems.

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Congenital Bronchobiliary Fistula in Adults

Cited by 20 publications

References 0 publications

Two cases of bronchobiliary fistula: Case report

Two cases of bronchobiliary fistula: Case report

Congenital Bronchobiliary Fistula in a 65-year-old Woman

Congenital bilio-bronchial fistula in an adult: a review of literature and video demonstration of laparoscopic fistula tract excision

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