Bronchobiliary fistula after traumatic liver rupture: a case report.


Journal

Journal of medical case reports
ISSN: 1752-1947
Titre abrégé: J Med Case Rep
Pays: England
ID NLM: 101293382

Informations de publication

Date de publication:
24 Jun 2024
Historique:
received: 22 11 2022
accepted: 29 05 2024
medline: 24 6 2024
pubmed: 24 6 2024
entrez: 23 6 2024
Statut: epublish

Résumé

Bronchobiliary fistulas are rare and difficult to treat. Peacock first reported this entity in 1850 while treating a patient with hepatic encopresis. A 67-year-old Chinese male patient presented to the outpatient clinic with a complaint of coughing up phlegm with chest tightness for 4 days with symptoms of intermittent bilirubin sputum with a sputum volume of about 500 ml per day but no symptoms of abdominal pain or jaundice and no yellow urine or steatorrhea. The examination revealed cyanosis of the lips and mouth, barrel chest, low breath sounds on the right side, and a large number of wet rales heard in both lungs. The imaging investigations were suggestive of bronchobiliary fistula. Therefore, the patient was operated on and discharged with no perioperative complications. Bronchobiliary fistula should be considered diagnostically in patients with known liver disease who also experience trauma or medical treatment and cough up bile-colored sputum, regardless of the presence of concurrent infections, and in conjunction with radiological expertise to identify it. Here, we report a case of bronchobiliary fistula and a brief review of the literature on it.

Identifiants

pubmed: 38910252
doi: 10.1186/s13256-024-04620-1
pii: 10.1186/s13256-024-04620-1
doi:

Types de publication

Case Reports Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

289

Informations de copyright

© 2024. The Author(s).

Références

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Auteurs

Teng Zhou (T)

Department of Hepatobiliary Surgery, Huangshan City People's Hospital Affiliated to Wannan Medical College, Huangshan, China.

Wenming Wu (W)

Department of Hepatobiliary Surgery, Huangshan City People's Hospital Affiliated to Wannan Medical College, Huangshan, China.

Chao Cheng (C)

Department of Hepatobiliary Surgery, Huangshan City People's Hospital Affiliated to Wannan Medical College, Huangshan, China.

Hui Wang (H)

Department of Hepatobiliary Surgery, Huangshan City People's Hospital Affiliated to Wannan Medical College, Huangshan, China.

Xiaochuan Hu (X)

Department of Hepatobiliary Surgery, Huangshan City People's Hospital Affiliated to Wannan Medical College, Huangshan, China.

Zhenhui Jiang (Z)

Department of Hepatobiliary Surgery, Huangshan City People's Hospital Affiliated to Wannan Medical College, Huangshan, China. jzhuihs@yeah.net.

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