Presence of bilirubin in bronchobiliary fistula easily confirmed with urinary dipstick test and treated with embolization

Kim, Min Je; Kim, Seon Hye; Hwang, In Kyoung; Kim, Hyung Oh; Jang, Na Eun; Paik, Seung Sook; Park, Myung Jae

doi:10.3904/kjim.2015.188

Cited by 3 publications

(2 citation statements)

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“…The typical color of sputum is bright yellow or yellow−green. A positive laboratory test for bilirubin can be used to diagnose the condition [ 6 ]. The bacteria commonly found in patients’ sputum tests are consistent with the spectrum of common biliary bacteria, including Escherichia coli , Pseudomonas aeruginosa , Klebsiella pneumoniae , Enterococcus , and Enterobacter cloacae [ 7 ].…”

Section: Discussionmentioning

confidence: 99%

“…Individualized and multidisciplinary treatment should be emphasized Jonathan M. Harnoss et al [ 1 ] 2013 A 45-year-old white male with PNH presented with right upper quadrant abdominal pain for 2 weeks Ultrasound and CT showed subdiaphragmatic fluid compression near the right hepatic lobe, a wedge-shaped solid area in the right lower lung, and bronchiectasis This report describes a patient with BBF with lithoptysis after ERCP and liver biopsy, emphasizing that surgical approach should be considered in such cases Min Je Kim et al . [ 6 ] 2017 A 53-year-old male presented with fever, cough, and brownish sputum that had persisted for 2 months A urine dipstick test revealed that the sputum was positive for bilirubin. Flexible bronchoscopy showed bile-colored secretion in the right lower lobar bronchus.…”

Section: Discussionmentioning

confidence: 99%

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Bronchobiliary fistula after traumatic liver rupture: a case report

Zhou,

Wu,

Cheng

et al. 2024

J Med Case Reports

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Introduction Bronchobiliary fistulas are rare and difficult to treat. Peacock first reported this entity in 1850 while treating a patient with hepatic encopresis. Case presentation A 67-year-old Chinese male patient presented to the outpatient clinic with a complaint of coughing up phlegm with chest tightness for 4 days with symptoms of intermittent bilirubin sputum with a sputum volume of about 500 ml per day but no symptoms of abdominal pain or jaundice and no yellow urine or steatorrhea. The examination revealed cyanosis of the lips and mouth, barrel chest, low breath sounds on the right side, and a large number of wet rales heard in both lungs. The imaging investigations were suggestive of bronchobiliary fistula. Therefore, the patient was operated on and discharged with no perioperative complications. Conclusion Bronchobiliary fistula should be considered diagnostically in patients with known liver disease who also experience trauma or medical treatment and cough up bile-colored sputum, regardless of the presence of concurrent infections, and in conjunction with radiological expertise to identify it. Here, we report a case of bronchobiliary fistula and a brief review of the literature on it.

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Section: Discussionmentioning

confidence: 99%