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KMID : 0383820120720020228
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Tuberculosis and Respiratory Diseases
2012 Volume.72 No. 2 p.228 ~ p.231
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A Case of Bronchobiliary Fistula as a Complication of Radiofrequency Ablation
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Lee Ji-Hyun
Kim Min-Su
Lee Jae-Gon
Kim Dae-Sik
Yang Hae-Jin
Cho Dae-Hyeon
Kang Kyung-Woo
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Abstract
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Bronchobiliary fistula (BBF), defined as an abnormal communication between the biliary duct and bronchial trees, is a very rare condition. Bilioptysis is a pathognomonic finding for BBF. We studied a 58-year-old man, who had a BBF complicated by liver biloma that occurred after radiofrequency ablation. The diagnosis was confirmed by the presence of bile-stained sputum and an Endoscopic Retrograde Cholangio-Pancreatography. BBF was treated successfully by endoscopic sphincterotomy and biliary drainage with insertion of a double pig-tail plastic stent into the biloma. We suggest that the optimal choice of treatment modality for BBF depends on the natural course of the underlying disease, and the status of the biliary stricture.
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KEYWORD
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Bronchial Fistula, Biliary Fistula, Catheter Ablation
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