Year 2022 / Volume 114 / Number 12
Letter
Bronchial-biliary fistula secondary to cholangiocarcinoma: long-term efficacy of biliary self-expandable metal stent

758-760

DOI: 10.17235/reed.2022.8970/2022

Emanuel Dias, Hélder Cardoso, Pedro Pereira, Pedro Moutinho-Ribeiro, Guilherme Macedo,

Abstract
A 77-year-old female with previous medical history of non-cirrhotic chronic hepatitis B and hepatocellular carcinoma treated with sequential partial hepatectomy followed by transarterial chemoembolization complained of pruritus and jaundice. Magnetic resonance cholangiopancreatography revealed a peri-hilar ill-defined stenosing lesion suggestive of malignancy. Endoscopic retrograde cholangiopancreatography with cholangioscopy confirmed a circumferential peri-hilar stenosis with fragile mucosa and tortuous dilated vessels and biopsies of this area were consistent cholangiocarcinoma. After 3 months, she presented with new-onset dyspnea and bilioptysis and abdominal computed tomography revealed a bronchial-biliary fistula. ERCP was performed to place a self-expandable metal stent in the biliary tract, which resulted in rapid clinical improvement. The patient has been followed for 2 years and remains globally stable with two episodes of worsening of bilioptysis secondary to stent obstruction by lithiasis that were easily resolved with Fogarty balloon-assisted extraction, with rapid improvement. This case demonstrates the long-term efficacy of endoscopic biliary drainage with self-expandable metallic stent for bronchial-biliary fistula in the setting of cholangiocarcinoma. 
Share Button
New comment
Comments
No comments for this article
References
1. Takakusagi S, Hoshino T, Takagi H, et al. The development of broncho-biliary fistula after treatment for hepatocellular carcinoma: a report of two cases. Clin J Gastroenterol. 2021;14(1):229-37.
2. Di Martino M, Laganá C, Delgado Valdueza J, Martín-Pérez E. A bronchobiliary fistula due to giant hydatid cyst. Rev Esp Enferm Dig. 2017;109(6):462-3.
3. Álvarez Delgado A. Endoscopic closure systems for perforations, fistulas, and leaks. In expert hands or in all endoscopy units? Rev Esp Enferm Dig. 2020;112(5):335-7.
4. Liao GQ, Wang H, Zhu GY, et al. Management of acquired bronchobiliary fistula: A systematic literature review of 68 cases published in 30 years. World J Gastroenterol. 2011;17(33):3842-9.
5. Tsema I, Slobodianyk V, Rahushyn D, et al. Non-Operative Management of Bronchobiliary Fistula Due to Proximal Migration of Biliary Stent in a Patient With Unresectable Klatskin Tumor. Clin Med Insights Case Rep. 2021;14:11795476211043067.
Related articles

Digestive Diseases Image

Malignancy of intraductal papillary neoplasm of the bile duct

DOI: 10.17235/reed.2021.8193/2021

Letter to the Editor

Sternal cutaneous metastasis of hilar cholangiocarcinoma

DOI: 10.17235/reed.2017.4979/2017

Letter to the Editor

Lupus as a paraneoplastic manifestation of cholangiocarcinoma

DOI: 10.17235/reed.2016.4064/2015

Citation tools
Dias E, Cardoso H, Pereira P, Moutinho-Ribeiro P, Macedo G. Bronchial-biliary fistula secondary to cholangiocarcinoma: long-term efficacy of biliary self-expandable metal stent. 8970/2022


Download to a citation manager

Download the citation for this article by clicking on one of the following citation managers:

Metrics
This article has received 1307 visits.
This article has been downloaded 47 times.

Statistics from Dimensions


Statistics from Plum Analytics

Publication history

Received: 28/05/2022

Accepted: 06/06/2022

Online First: 15/06/2022

Published: 12/12/2022

Article Online First time: 18 days

Article editing time: 198 days


Share
This article hasn't been rated yet.
Reader rating:
Valora este artículo:




Asociación Española de Ecografía Digestiva Sociedad Española de Endoscopia Digestiva Sociedad Española de Patología Digestiva
The Spanish Journal of Gastroenterology is the official organ of the Sociedad Española de Patología Digestiva, the Sociedad Española de Endoscopia Digestiva and the Asociación Española de Ecografía Digestiva
Cookie policy Privacy Policy Legal Notice © Copyright 2024 y Creative Commons. The Spanish Journal of Gastroenterology