Hee Bok Chae, M.D., Ki Won Moon, M.D., Sang Seok Bae, M.D., Seon Mee Park, M.D., Sei Jin Youn, M.D., Il Hun Bae, M.D.*, Jae Woon Choi, M.D.† and Jun Ho Wang, M.D.‡
Departments of Internal Medicine, *Radiology and †General Surgery, College of Medicine and Medical Research Institute, Chungbuk National University, Cheongju, ‡Deparment of Internal Medicine, College of Medicine, Konkuk University, Chungju, Korea
Abstract
Bronchobiliary fistula is a rare condition. It is defined by the presence of a passage between the biliary tract and the bronchial tree. Many conditions can give rise to the developement of such a communication. The patient was a 71-year-old man who had obstructive jaundice due to liver mass. At first, we inserted an uncovered metallic stent for biliary drainage. However, the bile duct was perforated due to the trapping of a catheter in the distal end of the deployed stent. The operation was performed immediately, but only the sump draingage was placed in the retroperitoneum because the perforation site could not be found. After 20 days from the procedure, the patient complained of bilioptysis because of a bronchobiliary fistula. We inserted a covered stent into the previous uncovered metallic stent. Bilioptysis rapidly resolved after the successful procedure. We report a case of iatrogenic bronchobiliary fistula which was managed by endoscopic biliary stenting. (Korean J Gastrointest Endosc 2004;28:151155)
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