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December 1985

Biliary-Bronchial Fistula After Right Hepatic Lobectomy

Author Affiliations

From the Department of Surgery, The Johns Hopkins Medical Institutions (Drs Sarr and Smith) and the Departments of Surgery (Drs Sarr and Smith) and Radiology (Dr DeLeon), Francis Scott Key Medical Center, Baltimore, Md.

Arch Surg. 1985;120(12):1376-1380. doi:10.1001/archsurg.1985.01390360042010

• Biliary-bronchial fistula is an extremely unusual complication of thoracoabdominal trauma or suppurative hepatobiliary disease. We treated a patient with a biliary-bronchial fistula that developed after right hepatectomy for an infected traumatic intrahepatic hematoma. The diagnosis of biliary-bronchial fistula was confirmed by percutaneous transhepatic cholangiography. Surgical therapy included a primary transabdominal choledochostomy, with the insertion of a T-tube, sphincteroplasty, and open marsupialization of the chronic subphrenic abscess.

(Arch Surg 1985;120:1376-1380)

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