Tuberc Respir Dis > Volume 69(2); 2010 > Article
Tuberculosis and Respiratory Diseases 2010;69(2):119-123.
DOI:    Published online August 1, 2010.
Bilioptysis Caused by Bronchobiliary Fistula Secondary to Sclerosing Therapy of Liver Cyst.
Sang Hoon Lee, Kyung Jong Lee, Song Yee Kim, Sang Kook Lee, Kyu Sik Jung, Byung Hoon Park, Ji Ye Jung, Ji Young Son, Yoe Wun Yoon, Young Ae Kang, Moo Suk Park, Young Sam Kim, Joon Chang, Se Kyu Kim, Jin Wook Moon
1Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea.
2The Institute of Chest Diseases, Yonsei University College of Medicine, Seoul, Korea.
Bronchobiliary fistula is a rare disorder consisting of an abnormal communication between the bronchial tree and the biliary duct. In Western countries, trauma, postoperative biliary stenosis, and biliary lithiasis are the predominant causative factors of bronchobiliary fistula. Bilioptysis (bile stained sputum) is a pathognomic finding for bronchobiliary fistula. To date, there are just a few reported cases of bronchobiliary fistula after sclerosis of a liver cyst. We describe the case of a 74-year-old woman who developed bronchobiliary fistula after sclerosing therapy of a liver cyst. The diagnosis was confirmed by the presence of bilioptysis and the chest and dynamic liver CT findings. The patient was successfully treated with antibiotics and percutaneous transhepatic catheter drainage.
Key Words: Cyst, Hepatic, Bronchobiliary fistula, Bilioptysis, Sclerosing injections
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