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Two cases of bronchobiliary fistula: Case report
Ann Hepatobiliary Pancreat Surg 2018 May;22(2):169-72
Published online May 31, 2018
Copyright © 2018 Ann Hepatobiliary Pancreat Surg.

Jae Ryong Shim, Sung-Sik Han, Hyung Min Park, Eung Chang Lee, Sang-Jae Park, and Joong-Won Park

Center for Liver Cancer, National Cancer Center, Goyang, Korea
Received November 22, 2017; Revised December 1, 2017; Accepted January 14, 2018.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
A bronchobiliary fistula, or a biliobronchial fistula (BBF), is a rare condition. It results from an abnormal connection between the biliary and bronchial trees, and is characterized by pathognomonic bilious sputum with suspicious pneumonia. Traditionally, an infectious disease, such as a hydatid infection, has been known to cause a BBF, but BBFs have recently become associated with tumors. In every case, procedures and treatments differ between centers, from simple conservative management to invasive surgical procedures. This case report presents two patients who had BBF after liver resection. Symptoms of each patients were treated and controlled successfully by percutaneous transhepatic biliary drainage tube insertion. We hope that this report helps in the management of BBF in other cases. (Ann Hepatobiliary Pancreat Surg 2018;22:169-172)
Keywords : Bronchobiliary fistula; PTBD


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