Percutaneous Treatment of Bronchobiliary Fistula: Report of a Successful Transhepatic Embolization and a Decision-Making Strategy Driven by Systematic Literature Review

Ammirabile, Angela; Rizzo, Dario A. A.; Pedicini, Vittorio; Lanza, Ezio

doi:10.1007/s00270-021-02837-x

Cited by 6 publications

(5 citation statements)

References 46 publications

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“…Furthermore, intravenous antibiotics, adequate nutritional support, and drain management were important measures for the patient. [ 16 ] Fortunately, the patient was successfully cured during the past 2 months.…”

Section: Discussionmentioning

confidence: 99%

Bronchobiliary fistula caused after percutaneous transhepatic biliary drainage treatment: A case report

Lian,

Zhou,

Peng

et al. 2023

Medicine

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Rationale: Percutaneous transhepatic biliary drainage (PTBD) plays a significant role especially in the diagnosis and decompression of bile duct obstruction. However, it is associated with complications such as hemobilia, occlusion of drainage, bile leakage, and even bronchobiliary fistula (BBF). Patient concerns and diagnoses: We herein describe a patient with a complication of BBF caused by long-term indwelling PTBD catheters. She underwent multiple operations including bilioenteric anastomosis, hepatic left lateral lobectomy, and long-term PTBD treatment. Her symptoms were mainly cough, fever, and yellow sputum and her diagnosis was confirmed by sputum culture (bilirubin detection was positive). Interventions and outcomes: The patient recovered uneventfully by minimally invasive treatment, was discharged after 1 week of hospitalization, and the drainage tube was removed 2 weeks later. During 2 years of follow-up, no recurrence of BBF was observed. Lessons: Patients with long-term indwelling PTBD catheters for biliary tract obstruction may lead to BBF. The treatment plan of BBF is tailored to the patient’s individualized characteristics. And minimally invasive treatments might be an effective alternate way for the treatment of BBF. The accurate diagnosis, precision treatment, and multidisciplinary team play important roles in the treatment of BBF.

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Section: Discussionmentioning

confidence: 99%

Bronchobiliary fistula caused after percutaneous transhepatic biliary drainage treatment: A case report

Lian,

Zhou,

Peng

et al. 2023

Medicine

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“…[3]. The clinical symptoms of BBF are mainly manifested by cough, sputum, shortness of breath, chest pain, hemoptysis, fever, abdominal pain, and coughing bile-like sputum is a characteristic manifestation of the disease [4]. Relevant ancillary examinations can assist in the diagnosis and management of BBF; imaging examinations such as chest CT and airway reconstruction, MRI and MRCP show the presence of bile duct and bronchus abnormal communication; fiberoptic bronchoscopy shows bile-like sputum in the airway and bilirubin can be detected in the sputum; Percutaneous hepatic puncture cholangiography with bile duct injection showed contrast flow into the bronchus; Endoscopic Retrograde Cannulation of the Pancreatic (ERCP) showed that the bile duct communicated directly with the bronchus.…”

Section: Discussionmentioning

confidence: 99%

A Case of Bronchobiliary Fistula Treated by Percutaneous Endobiliary Fistula Closure

Jian,

Zhipeng,

Xugong

et al. 2023

austinjclincaserep

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Bronchobiliary fistula is a rare clinical condition with a characteristic clinical presentation of coughing bile-like sputum, which seriously affects the patient’s quality of life. We report a case of a 60-year-old male patient with bronchobiliary fistula who was successfully treated with percutaneous hepatic puncture to closure the endobiliary fistula. The patient was followed up for 3 months without recurrence of bile-like sputum.

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“…If biliary decompression fails and the fistula remains patent on cholangiography, percutaneous or endobronchial embolization of the fistulous tract may be considered. According to a recent systematic review of 64 published articles, the success rate of percutaneous treatment is approximately 75% [ 73 ]. Surgical repair is the definitive treatment option for patients who do not respond to minimally invasive treatment.…”

Section: Hepatobiliary Complicationsmentioning

confidence: 99%

Complications Related to Transarterial Treatment of Hepatocellular Carcinoma: A Comprehensive Review

Lee

Hyun

2023

Korean J Radiol

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Currently, various types of transarterial treatments are performed for hepatocellular carcinoma from the early to advanced stages. Its indications and efficacy have been widely investigated. However, procedure-related complications have not been updated in the literature, although new types of transarterial treatments, such as drug-eluting bead transarterial chemoembolization and transarterial radioembolization, are common in daily practice. Herein, a comprehensive literature review was carried out, and complications were organized according to the organs affected and treatment modalities.

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Percutaneous Treatment of Bronchobiliary Fistula: Report of a Successful Transhepatic Embolization and a Decision-Making Strategy Driven by Systematic Literature Review

Cited by 6 publications

References 46 publications

Bronchobiliary fistula caused after percutaneous transhepatic biliary drainage treatment: A case report

Bronchobiliary fistula caused after percutaneous transhepatic biliary drainage treatment: A case report

A Case of Bronchobiliary Fistula Treated by Percutaneous Endobiliary Fistula Closure

Complications Related to Transarterial Treatment of Hepatocellular Carcinoma: A Comprehensive Review

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