Surgical Management of Bronchobiliary Fistula After Thoracoabdominal Trauma
| Autor: | Nicole Geissen, Edie Y. Chan, Jafar Hasan, Mark A. Grevious, Steven Bonomo, Julia M. Coughlin |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
Male medicine.medical_specialty Biliary Fistula Diaphragm Fistulectomy Diaphragmatic breathing 030204 cardiovascular system & hematology Biliary Stenting 03 medical and health sciences High morbidity 0302 clinical medicine medicine Humans Bronchobiliary fistula Disease process business.industry General Medicine medicine.disease Surgery Thoracotomy 030220 oncology & carcinogenesis Stents Bronchial Fistula business Penetrating trauma Wedge resection (lung) |
| Zdroj: | The American Surgeon. 88:1343-1345 |
| ISSN: | 1555-9823 0003-1348 |
| DOI: | 10.1177/0003134820945263 |
| Popis: | Bronchobiliary fistulas are exceedingly rare pathological connections between the biliary and the bronchial systems, which result from hepatobiliary neoplasms, abscesses, or thoracoabdominal trauma. Prompt recognition, diagnosis, and intervention is essential in order to prevent the high morbidity and mortality associated with this disease process. Multiple management strategies have been described in the literature; however, the optimal course has not been well defined. We present a case of a 31-year-old male who developed a bronchobiliary fistula 1 month after thoracoabdominal trauma. After conservative management with biliary stenting failed, he successfully underwent latissimus sparing right posterolateral thoracotomy, complete fistulectomy, right lower lobe wedge resection, and diaphragmatic reconstruction with subsequent resolution of his symptoms. |
| Databáze: | OpenAIRE |
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