Percutaneous Bronchial Embolization to Treat Intractable Bronchobiliary Fistula
Autor: | Jae Hwan Lee, Hyun Beom Kim, Seowoo Lee, In Joon Lee |
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Rok vydání: | 2019 |
Předmět: |
medicine.medical_specialty
Biliary Fistula Percutaneous medicine.medical_treatment Diaphragmatic breathing Bronchi Lung abscess 030218 nuclear medicine & medical imaging 03 medical and health sciences 0302 clinical medicine medicine Humans Radiology Nuclear Medicine and imaging Lung Abscess Embolization Abscess Intrahepatic Cholangiocarcinoma Lung business.industry Middle Aged respiratory system medicine.disease Embolization Therapeutic respiratory tract diseases Surgery Radiography Bile Ducts Intrahepatic Treatment Outcome medicine.anatomical_structure Drainage Sputum Female Bronchial Fistula medicine.symptom Tomography X-Ray Computed Cardiology and Cardiovascular Medicine business |
Zdroj: | CardioVascular and Interventional Radiology. 42:784-786 |
ISSN: | 1432-086X 0174-1551 |
Popis: | Sixty-four-year-old female who underwent hemi-hepatectomy for intrahepatic cholangiocarcinoma a year ago presented with biliary sputum, cough and fever. Cross-sectional imaging showed a recurred tumor involving right diaphragmatic area and an abscess formation in liver dome with adjacent right lower lobe of lung. Percutaneous transhepatic biliary drainage and percutaneous drainage of lung abscess were performed. Tubogram showed connections between the lung abscess cavity and multiple distal bronchi, suggesting bronchobiliary fistulas. Two weeks of drainage treatment did not relieve symptoms. We successfully treated intractable bronchobiliary fistula via image-guided percutaneous access to closest distal bronchi near abscess with subsequent tandem placement of vascular plugs. |
Databáze: | OpenAIRE |
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