Cargando…
Biliptysis Revealing a Bilio-Bronchial Fistula
The presence of a bilio-bronchial fistula (BBF) of hydatid origin is considered a serious complication as it can lead to significant injuries at the abdominal, diaphragmatic, and thoracic levels. Here, we report the case of a 70-year-old patient presenting with biliptysis as a symptom and whose thor...
Autores principales: | , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2023
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10473440/ https://www.ncbi.nlm.nih.gov/pubmed/37664321 http://dx.doi.org/10.7759/cureus.42842 |
_version_ | 1785100274306646016 |
---|---|
author | Thouil, Afaf Bouhout, Tariq Rhazari, Meriem Serji, Badr Kouismi, Hatim |
author_facet | Thouil, Afaf Bouhout, Tariq Rhazari, Meriem Serji, Badr Kouismi, Hatim |
author_sort | Thouil, Afaf |
collection | PubMed |
description | The presence of a bilio-bronchial fistula (BBF) of hydatid origin is considered a serious complication as it can lead to significant injuries at the abdominal, diaphragmatic, and thoracic levels. Here, we report the case of a 70-year-old patient presenting with biliptysis as a symptom and whose thoracic and abdominal CT scan confirmed the presence of a right BBF. The management consisted of an initial endoscopic sphincterotomy, followed by an exclusive left thoracotomy surgery to treat lung, liver, and diaphragmatic injuries. Fortunately, the evolution was favorable with the disappearance of the biliptysis. To diagnose a BBF, it is crucial to conduct a precise assessment, focusing mainly on imaging to accurately locate the injury before any surgical intervention. |
format | Online Article Text |
id | pubmed-10473440 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-104734402023-09-02 Biliptysis Revealing a Bilio-Bronchial Fistula Thouil, Afaf Bouhout, Tariq Rhazari, Meriem Serji, Badr Kouismi, Hatim Cureus Pulmonology The presence of a bilio-bronchial fistula (BBF) of hydatid origin is considered a serious complication as it can lead to significant injuries at the abdominal, diaphragmatic, and thoracic levels. Here, we report the case of a 70-year-old patient presenting with biliptysis as a symptom and whose thoracic and abdominal CT scan confirmed the presence of a right BBF. The management consisted of an initial endoscopic sphincterotomy, followed by an exclusive left thoracotomy surgery to treat lung, liver, and diaphragmatic injuries. Fortunately, the evolution was favorable with the disappearance of the biliptysis. To diagnose a BBF, it is crucial to conduct a precise assessment, focusing mainly on imaging to accurately locate the injury before any surgical intervention. Cureus 2023-08-02 /pmc/articles/PMC10473440/ /pubmed/37664321 http://dx.doi.org/10.7759/cureus.42842 Text en Copyright © 2023, Thouil et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Pulmonology Thouil, Afaf Bouhout, Tariq Rhazari, Meriem Serji, Badr Kouismi, Hatim Biliptysis Revealing a Bilio-Bronchial Fistula |
title | Biliptysis Revealing a Bilio-Bronchial Fistula |
title_full | Biliptysis Revealing a Bilio-Bronchial Fistula |
title_fullStr | Biliptysis Revealing a Bilio-Bronchial Fistula |
title_full_unstemmed | Biliptysis Revealing a Bilio-Bronchial Fistula |
title_short | Biliptysis Revealing a Bilio-Bronchial Fistula |
title_sort | biliptysis revealing a bilio-bronchial fistula |
topic | Pulmonology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10473440/ https://www.ncbi.nlm.nih.gov/pubmed/37664321 http://dx.doi.org/10.7759/cureus.42842 |
work_keys_str_mv | AT thouilafaf biliptysisrevealingabiliobronchialfistula AT bouhouttariq biliptysisrevealingabiliobronchialfistula AT rhazarimeriem biliptysisrevealingabiliobronchialfistula AT serjibadr biliptysisrevealingabiliobronchialfistula AT kouismihatim biliptysisrevealingabiliobronchialfistula |