Broncho biliary fistula following interventional radiology for hepatic metastases

Z Gastroenterol. 2024 Apr 11. doi: 10.1055/a-2207-7533. Online ahead of print.ABSTRACTBronchobiliary fistulas are defined as an abnormal communication between the biliary system and the bronchial tree. They are extremely rare complications of radiofrequency or microwave ablation. A 39-year-old woman with a history of neuroendocrine pancreatic carcinoma suffering from liver metastasis was treated with microwave ablation (MWA). In this case report, we present a case of intractable biliptysis from a bronchobiliary fistula secondary to an MWA. The patient was diagnosed by endoscopic retrograde cholangiopancreatograph and hepatobiliary scintigraphy. Treatment involved a right hemihepatectomy, a redo-hepaticojejunostomy, and the surgical placement of a transhepatic drain. After 6 weeks of drain placement, this could be removed. The fistula was thus successfully treated.PMID:38604220 | DOI:10.1055/a-2207-7533
Source: Zeitschrift fur Gastroenterologie - Category: Gastroenterology Authors: Source Type: research