Bd. Eck et Wj. Passinault, BRONCHOBILIARY FISTULA - A RARE COMPLICATION OF CHRONIC-PANCREATITIS, International journal of pancreatology, 20(3), 1996, pp. 213-216
Conclusions. Bronchobiliary fistula is an infrequent manifestation of
common bile duct obstruction. The slowly progressive narrowing of the
common duct by the fibrosis of chronic pancreatitis is an even more ra
re mechanism of such fistula formation with only two cases having been
reported previously. A third case of bronchobiliary fistula caused by
chronic pancreatitis is presented and its successful management is di
scussed. Background. A 54-yr-old male with known chronic pancreatitis
presented with a cough productive of copious amounts of bile and with
pulmonary infiltrates. Methods. Diagnosis of bronchobiliary fistula wa
s made based on HIDA scan and confirmed by operative cholangiogram. Re
sults. Successful correction of this fistula was accomplished by opera
tive closure of the fistulous tract and diversion of the narrowed bile
duct by hepaticojejunal bypass.