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KMID : 0383820100690020119
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Tuberculosis and Respiratory Diseases
2010 Volume.69 No. 2 p.119 ~ p.123
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Bilioptysis Caused by Bronchobiliary Fistula Secondary to Sclerosing Therapy of Liver Cyst
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Lee Sang-Hoon
Lee Kyung-Jong
Kim Song-Yee
Lee Sang-Kook
Jung Kyu-Sik
Park Byung-Hoon
Jung Ji-Ye
Son Ji-Young
Yoon Yoe-Wun
Kang Young-Ae
Park Moo-Suk
Kim Young-Sam
Chang Joon
Kim Se-Kyu
Moon Jin-Wook
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Abstract
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Bronchobiliary fistula is a rare disorder consisting of an abnormal communication between the bronchial tree and the biliary duct. In Western countries, trauma, postoperative biliary stenosis, and biliary lithiasis are the predominant causative factors of bronchobiliary fistula. Bilioptysis (bile stained sputum) is a pathognomic finding for bronchobiliary fistula. To date, there are just a few reported cases of bronchobiliary fistula after sclerosis of a liver cyst. We describe the case of a 74-year-old woman who developed bronchobiliary fistula after sclerosing therapy of a liver cyst. The diagnosis was confirmed by the presence of bilioptysis and the chest and dynamic liver CT findings. The patient was successfully treated with antibiotics and percutaneous transhepatic catheter drainage.
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KEYWORD
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Cyst, Hepatic, Bronchobiliary fistula, Bilioptysis, Sclerosing injections
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