Thoracobiliary fistula

Margaret M. Johnson, Robert Chin, Edward F. Haponik

Research output: Contribution to journalArticle

33 Scopus citations

Abstract

Thoracobiliary communications in the form of either pleurobiliary or bronchobiliary fistulas are reported complications of many diseases. A strong suspicion in the appropriate clinical setting is necessary to recognize this problem. Bilioptysis is the sine qua non of a bronchobiliary fistula. Diagnostic imaging studies are useful to identify the communication and to delineate its location. Although surgery is the optimal intervention, percutaneous drainage and intravenous antimicrobial therapy may offer the best therapeutic option in patients with metastatic cancer and limited physiologic reserve. We report a unique case of bronchobiliary fistula complicating a uterine leiomyosarcoma with hepatic metastases. Long-term palliation was achieved with percutaneous drainage and appropriate fluid and electrolyte replacement therapy.

Original languageEnglish (US)
Pages (from-to)335-339
Number of pages5
JournalSouthern medical journal
Volume89
Issue number3
DOIs
StatePublished - Mar 15 1996

ASJC Scopus subject areas

  • Medicine(all)

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