Özdemir, Cengiz; Sökücü, Sinem; Akbaş, Ayşegül; Altay, Sezin; Karasulu, Levent; Dalar, Levent
May 2013
Turkish Respiratory Journal / Solunum Dergisi;2013 Supplement, Vol. 15, p30
Academic Journal
Bronchobiliary fistula (BBF) occurs due to an abnormal relationship between biliary ducts and the bronchial tree, but is rarely seen. Malignant causes are the most common in the aetiology of BBFs, although many different causes are recognised. Fibreoptic bronchoscopy was performed in a 74 year-old male patient with the diagnosis of inoperable Klatskin tumour and a pre-diagnosis of BBF with symptoms of yellow-green sputum production and cough. Laterobasal segment opening of the lower lobe of right lung was occluded by three 5mm endobronchial Watanabe spigots by fibreoptic bronchoscope through rigid bronchoscope. Biliary secretion was seen to be interrupted. Treatment by bronchoscopic approaches in the BBF treatment should be kept in mind as an alternative treatment, especially in cases where surgery is refused or not suitable due to illness.


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