Recurrent bronchobiliary fistula: unsuccessful management with repeated insertion of metallic biliary stent.

Abstract

This case of a recurrent bronchobiliary fistula was first managed temporarily with repeated metallic biliary stent placement, and finally required surgery. A 65-year-old man, who had undergone a hepatic resection for metastatic colon carcinoma, with a bronchobiliary fistula was treated with metallic biliary stent placement for a stenosis in the common bile duct. During 16 months of follow-up, the biliptysis recurred twice by a recurrent stricture of the common bile duct, which was managed by placement of a second and third stent in a coaxial manner. Three months after placement of the third stent, jaundice developed and the patient finally underwent a Roux-en-Y choledochojejunostomy.

• Authors: Sung Il Jung, Jin Mo Goo, Joon Koo Han, Jin Young Jang, Kuhn Uk Lee, Kyoung Ho Lee, Jung-Gi Im
• Journal: Journal of vascular and interventional radiology : JVIR (J Vasc Interv Radiol) Vol. 14 Issue 12 Pg. 1577-9 (Dec 2003) ISSN: 1051-0443 [Print] United States
• PMID: 14654496 (Publication Type: Case Reports, Journal Article)

Chemical References

• Metals

Topics

• Aged
• Biliary Fistula (etiology, surgery)
• Bronchial Fistula (etiology, surgery)
• Colonic Neoplasms (pathology)
• Hepatectomy
• Humans
• Liver Neoplasms (secondary, surgery)
• Male
• Metals
• Recurrence
• Stents
• Treatment Failure