tailieunhanh - Báo cáo y học: " Minimally invasive treatment of patients with bronchobiliary fistula: a case series"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Minimally invasive treatment of patients with bronchobiliary fistula: a case series | Journal of Medical Case Reports BioMed Central Open Access Case report Minimally invasive treatment of patients with bronchobiliary fistula a case series Unal Aydin1 Pinar Yazici 1 Fatih Tekin2 Omer Ozutemiz1 and Ahmet Coker1 Address Department of General Surgery Ege University School of Medicine Bornova 35100 Izmir Turkey and 2Division of Gastroenterology Ege University School of Medicine Izmir Turkey Email Unal Aydin - drunalaydin@ PinarYazici - drpinaryazici@ Fatih Tekin - fatihtekin@ Omer Ozutemiz - omerozutemiz@ Ahmet Coker - ahmetcoker@ Corresponding author Published 23 January 2009 Received 24 August 2007 Journal of Medical Case Reports 2009 3 23 doi 1752-1947-3-23 Accepted 23 January 2009 This article is available from http content 3 1 23 2009 Aydin et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Introduction Bronchobiliary fistula is an uncommon complication secondary to hepatobiliary surgery. Bilioptysis is a pathognomic finding for bronchobiliary fistulas. Diagnosis may be easily established in the light of clinical history which can be aided by imaging studies to pinpoint the exact location. Some diagnostic procedures such as endoscopic retrograde cholangiopancreatectomy are also useful for treatment. Case presentation We present three Turkish patients with bronchobiliary fistula secondary to previous hepatic surgery due to hydatid cyst in two a 19-year-old and a 47-year-old man and iatrogenic trauma of the common bile duct by endoscopy in a 35-year-old man. All of the patients were successfully treated by minimally invasive methods including percutaneous drainage and endoscopic retrograde cholangiopancreatography.