Management of acquired bronchobiliary fistula: A systematic literature review of 68 cases published in 30 years

Liao, Guan-Qun; Wang, Hao; Zhu, Guangyong; Zhu, Kaibin; Lv, Fu-Xin; Tai, Sheng

doi:10.3748/wjg.v17.i33.3842

Cited by 119 publications

(190 citation statements)

References 51 publications

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“…BBF is an abnormal communication between the bile duct and the bronchial tree, and can arise from hydatid disease, trauma, bile duct obstruction, tumor invasion and iatrogenic injuries caused by procedures such as TACE and RFA (10,11). The complication rate of RFA for HCC is 0.6-10% (4,12); however, only sporadic cases of BBF as a complication of RFA have been reported (13)(14)(15).…”

Section: Discussionmentioning

confidence: 99%

Delayed bronchobiliary fistula following radiofrequency ablation in a patient with hepatocellular carcinoma: A case report and lesson regarding treatment

et al. 2016

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Abstract. Bronchobiliary fistula (BBF) is a rare complication of radiofrequency ablation (RFA) of hepatocellular carcinoma. The rupture of a biloma following RFA may result in the development of BBF, with their early detection and timely management important in the prevention of BBF. The current study presents a case of BBF, which developed at 17 months after radiofrequency ablation (RFA), due to biloma rupture in a patient with hepatocellular carcinoma. Despite the percutaneous drainage of the biloma following BBF, the persistent fever did not resolve due to biliary infection. Finally, an extensive surgical intervention was performed. The magnetic resonance imaging (MRI) scans that had been performed following RFA were reviewed, and it was found that the biloma and increased bile leakage had presented prior to biloma rupture. For that reason, it is advised that patients who present with biloma following RFA should receive regular follow-up MRI scans. Biloma enlargement could be a predictor for the development of BBF; therefore, timely drainage of an enlarging biloma may be able to prevent this complication.

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Section: Discussionmentioning

confidence: 99%

Delayed bronchobiliary fistula following radiofrequency ablation in a patient with hepatocellular carcinoma: A case report and lesson regarding treatment

et al. 2016

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“…Once BBF develops most frequent symptoms include fever, irritating productive cough, chest pain, right upper abdominal pain and jaundice [2,5,7]. Bile behaves as a strong irritant when present outside the billiary channel and gastrointestinal system.…”

Section: Discussionmentioning

confidence: 99%

“…This patient had failed arterial chemotherapies, radiofrequency ablations, chemoembolization, and a right lobectomy. The bilopytsis has resolved after histoacryl embolization, but patient died from biliary obstruction and hepatic failure three months later [7,14].…”

Section: Discussionmentioning

confidence: 99%

Broncho-Biliary Fistula Due to Hydatid Disease: Case Report

Yeheyis¹,

Tamire²

2017

J Clin Case Rep

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A Broncho Biliary Fistula (BBF) is a rare complication of echinococcosis. This occurs from rupture of a hydatid cyst located at the upper surface of the liver into the bronchial tree. Fistulisation, results in biliopytsis, which is expectoration of bile-tinged greenish-yellow sputum, a pathognomonic feature of BBF. Bilopytsis may also occur in other conditions such as hepatectomies, liver abscesses or trauma. Surgical fistula closure is the definitive management of these patients, however downstream biliary obstruction should be ruled out first. Almost all cases can be approached through a right postero-lateral thoracotomy followed by phrenotomy. However, if there are multiple cysts in the liver, a thoraco-abdominal incision may be necessary.

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“…[6,7] With advancements in modern medicine, minimally invasive techniques have been developed for the direct intervention to a BBF as a means of therapy. Mukada et al reported embolization of a BBF with the placement of microcoils and application of cyanoacrylate glue through endoscopic retrograde cholangiopancreatography.…”

Section: Discussionmentioning

confidence: 99%

Minimally Invasive Treatment of a Bronchobiliary Fistula that Developed Secondary to Chemotherapy-induced Stricturing

Rice

Dinkelborg

Flood

et al. 2018

AJIR

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A bronchobiliary fistula (BBF) is a rare abnormal communication between the biliary tree and bronchial system. The majority of cases are the result of biliary obstruction or injury, with the major symptomatology of cough and biliptysis. The initial management of BBFs is variable but aims to decompress the biliary system allowing for diversion and passive healing of the fistula tract. Definitive management is with surgical fistulectomy. New minimally invasive therapeutic approaches utilizing endoscopic or percutaneous methodology have been described with some success. We present the successful treatment of a BBF that developed secondary to chemotherapy-induced biliary stricturing (CIBS) with a novel percutaneous embolization approach using a vascular plug and liquid embolic agent.

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Management of acquired bronchobiliary fistula: A systematic literature review of 68 cases published in 30 years

Abstract: The clinical diagnosis of BBF can be established by sputum analysis. Careful assessment of this condition is needed before therapeutic procedure. Invasive approaches should be considered only when non-invasive methods failed.

Cited by 119 publications

References 51 publications

Delayed bronchobiliary fistula following radiofrequency ablation in a patient with hepatocellular carcinoma: A case report and lesson regarding treatment

Delayed bronchobiliary fistula following radiofrequency ablation in a patient with hepatocellular carcinoma: A case report and lesson regarding treatment

Broncho-Biliary Fistula Due to Hydatid Disease: Case Report

Minimally Invasive Treatment of a Bronchobiliary Fistula that Developed Secondary to Chemotherapy-induced Stricturing

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