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Percutaneous Bronchial Embolization to Treat Intractable Bronchobiliary Fistula

Authors
  • Lee, Seowoo1
  • Lee, Jae Hwan2
  • Kim, Hyun Beom2
  • Lee, In Joon2
  • 1 Seoul National University Hospital, Department of Radiology, Seoul, Republic of Korea , Seoul (South Korea)
  • 2 National Cancer Center, Department of Radiology, Center for Liver Cancer, 323 Ilsan-ro, Ilsandong-gu, Goyang-si, Gyeonggi-do, 10408, Republic of Korea , Goyang-si (South Korea)
Type
Published Article
Journal
CardioVascular and Interventional Radiology
Publisher
Springer-Verlag
Publication Date
Jan 25, 2019
Volume
42
Issue
5
Pages
784–786
Identifiers
DOI: 10.1007/s00270-019-02166-0
Source
Springer Nature
Keywords
License
Yellow

Abstract

Sixty-four-year-old female who underwent hemi-hepatectomy for intrahepatic cholangiocarcinoma a year ago presented with biliary sputum, cough and fever. Cross-sectional imaging showed a recurred tumor involving right diaphragmatic area and an abscess formation in liver dome with adjacent right lower lobe of lung. Percutaneous transhepatic biliary drainage and percutaneous drainage of lung abscess were performed. Tubogram showed connections between the lung abscess cavity and multiple distal bronchi, suggesting bronchobiliary fistulas. Two weeks of drainage treatment did not relieve symptoms. We successfully treated intractable bronchobiliary fistula via image-guided percutaneous access to closest distal bronchi near abscess with subsequent tandem placement of vascular plugs.

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