Bronchobiliary Fistula: A Rare Complication After Pancreaticoduodenectomy
Autor: | Josiah Zubairu, William B. Silverman, Florence-Damilola Odufalu |
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Rok vydání: | 2016 |
Předmět: |
Male
Ampulla of Vater medicine.medical_specialty Biliary Fistula Time Factors Percutaneous medicine.medical_treatment Common Bile Duct Neoplasms Pancreaticoduodenectomy Whipple Procedure 03 medical and health sciences Postoperative Complications 0302 clinical medicine medicine Humans Bronchobiliary fistula Aged Unusual Presentation of More Common Disease/Injury Hepatology business.industry Biliary fistula Gastroenterology General Medicine medicine.disease Dilatation Bronchial Fistula Carcinoma Neuroendocrine Surgery medicine.anatomical_structure 030220 oncology & carcinogenesis Balloon dilation Drainage 030211 gastroenterology & hepatology Complication business Rare disease |
Zdroj: | BMJ Case Rep |
ISSN: | 0002-9270 |
DOI: | 10.14309/00000434-201610001-01213 |
Popis: | Biliary anatomic pathologies are rare disease occurrences that can result from a number of causes, most commonly iatrogenic, infectious and malignant aetiologies. Communications between the biliary and bronchial systems are even rarer and few cases have been documented in the literature. The present study describes a case of a 70-year-old man who underwent a pancreaticoduodenectomy (Whipple Procedure) as a curative procedure for an early stage neuroendocrine tumour. He presented nearly a decade after surgery with a communication between the biliary and bronchial tree initially manifesting as bilioptysis. His underlying medical conditions and poor clinical picture made treatment options limited. Therefore, he was treated conservatively with percutaneous biliary balloon dilation of the anastomotic stricture followed by temporary percutaneous internal/external drain and made a full recovery. |
Databáze: | OpenAIRE |
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