Korean J Gastrointest Endosc > Volume 28(3); 2004 > Article
Korean Journal of Gastrointestinal Endoscopy 2004;28(3): 151-155.
의인성 기관지담관 누공 1예
채희복․문기원․배상석․박선미․윤세진․배일헌*․최재운․왕준호
충북대학교 의과대학 내과학교실, *방사선과학교실, 외과학교실, 건국대학교 의과대학 내과학교실
A Case of Iatrogenic Bronchobiliary Fistula
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;28:151⁣155)
Key Words: Bronchobiliary fistula, Bile duct perforation, Metallic biliary stent
주요어: 기관지담관 누공, 담관천공, 금속 스텐트
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