Tuberculosis and Respiratory Diseases

  • 제72권2호
  • /
  • Pages.228-231
  • /
  • 2012
  • /
  • 1738-3536(pISSN)
  • /
  • 2005-6184(eISSN)
대한결핵및호흡기학회 (The Korean Academy of Tuberculosis and Respiratory Diseases)
권호 표지
DOI QR코드

DOI QR Code

간암환자에서 고주파 열치료 후 발생한 기관지담관루 1예

A Case of Bronchobiliary Fistula as a Complication of Radiofrequency Ablation

  • 이지현 (성균관대학교 의과대학 내과학교실 삼성창원병원 호흡기내과) ;
  • 김민수 (성균관대학교 의과대학 내과학교실 삼성창원병원 호흡기내과) ;
  • 이재곤 (성균관대학교 의과대학 내과학교실 삼성창원병원 호흡기내과) ;
  • 김대식 (성균관대학교 의과대학 내과학교실 삼성창원병원 호흡기내과) ;
  • 양혜진 (성균관대학교 의과대학 내과학교실 삼성창원병원 호흡기내과) ;
  • 조대현 (성균관대학교 의과대학 내과학교실 삼성창원병원 호흡기내과) ;
  • 강경우 (성균관대학교 의과대학 내과학교실 삼성창원병원 호흡기내과)
  • Lee, Ji-Hyun (Division of Pulmonary and Critical Care Medicine, Department of Medicine, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine) ;
  • Kim, Min-Su (Division of Pulmonary and Critical Care Medicine, Department of Medicine, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine) ;
  • Lee, Jae-Gon (Division of Pulmonary and Critical Care Medicine, Department of Medicine, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine) ;
  • Kim, Dae-Sik (Division of Pulmonary and Critical Care Medicine, Department of Medicine, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine) ;
  • Yang, Hae-Jin (Division of Pulmonary and Critical Care Medicine, Department of Medicine, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine) ;
  • Cho, Dae-Hyeon (Division of Pulmonary and Critical Care Medicine, Department of Medicine, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine) ;
  • Kang, Kyung-Woo (Division of Pulmonary and Critical Care Medicine, Department of Medicine, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine)
  • 투고 : 2011.09.17
  • 심사 : 2011.10.24
  • 발행 : 2012.02.29
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Bronchobiliary fistula (BBF), defined as an abnormal communication between the biliary duct and bronchial trees, is a very rare condition. Bilioptysis is a pathognomonic finding for BBF. We studied a 58-year-old man, who had a BBF complicated by liver biloma that occurred after radiofrequency ablation. The diagnosis was confirmed by the presence of bile-stained sputum and an Endoscopic Retrograde Cholangio-Pancreatography. BBF was treated successfully by endoscopic sphincterotomy and biliary drainage with insertion of a double pig-tail plastic stent into the biloma. We suggest that the optimal choice of treatment modality for BBF depends on the natural course of the underlying disease, and the status of the biliary stricture.

키워드

참고문헌

  1. Gugenheim J, Ciardullo M, Traynor O, Bismuth H. Bronchobiliary fistulas in adults. Ann Surg 1988;207:90-4. https://doi.org/10.1097/00000658-198801000-00017
  2. Gauderer MW, Oiticica C, Bishop HC. Congenital bronchobiliary fistula: management of the involved hepatic segment. J Pediatr Surg 1993;28:452-5. https://doi.org/10.1016/0022-3468(93)90247-I
  3. Rose DM, Rose AT, Chapman WC, Wright JK, Lopez RR, Pinson CW. Management of bronchobiliary fistula as a late complication of hepatic resection. Am Surg 1998;64:873-6.
  4. Moumen M, el Fares F. Bilio-bronchial fistula of hydatid origin. Apropos of 8 cases. J Chir (Paris) 1991;128:188-92.
  5. Yoon DH, Shim JH, Lee WJ, Kim PN, Shin JH, Kim KM. Percutaneous management of a bronchobiliary fistula after radiofrequency ablation in a patient with hepatocellular carcinoma. Korean J Radiol 2009;10:411-5. https://doi.org/10.3348/kjr.2009.10.4.411
  6. Kim YS, Rhim H, Sung JH, Kim SK, Kim Y, Koh BH, et al. Bronchobiliary fistula after radiofrequency thermal ablation of hepatic tumor. J Vasc Interv Radiol 2005;16:407-10. https://doi.org/10.1097/01.RVI.0000150034.77451.6F
  7. Tran T, Hampel H, Qureshi WA, Shaib Y. Successful endoscopic management of bronchobiliary fistula due to radiofrequency ablation. Dig Dis Sci 2007;52:3178-80. https://doi.org/10.1007/s10620-006-9331-x
  8. Tateishi R, Shiina S, Teratani T, Obi S, Sato S, Koike Y, et al. Percutaneous radiofrequency ablation for hepatocellular carcinoma. An analysis of 1000 cases. Cancer 2005;103:1201-9. https://doi.org/10.1002/cncr.20892
  9. Pende V, Marchese M, Mutignani M, Polinari U, Allegri C, Greco R, et al. Endoscopic management of biliopleural fistula and biloma after percutaneous radiofrequency ablation of liver metastasis. Gastrointest Endosc 2007;66:616-8. https://doi.org/10.1016/j.gie.2006.12.023
  10. Mulier S, Mulier P, Ni Y, Miao Y, Dupas B, Marchal G, et al. Complications of radiofrequency coagulation of liver tumours. Br J Surg 2002;89:1206-22. https://doi.org/10.1046/j.1365-2168.2002.02168.x
  11. Liberale G, Delhaye M, Ansay J, Houben JJ, Coppens E, Gelin M, et al. Biliary pleural fistula as a complication of radiofrequency ablation for liver metastasis. Acta Chir Belg 2004;104:448-50.
  12. Akazawa S, Omagari K, Amenomori M, Nishiyama H, Mizuta Y, Kohno S. Bronchobiliary fistula associated with intrahepatic biloma after transcatheter arterial chemoembolization for hepatocellular carcinoma. J Hepatol 2004;40:1045-6. https://doi.org/10.1016/j.jhep.2004.02.006
  13. Kapoor BS, Hunter DW. Injection of subphrenic saline during radiofrequency ablation to minimize diaphragmatic injury. Cardiovasc Intervent Radiol 2003;26:302-4. https://doi.org/10.1007/s00270-003-2704-z
  14. Boyd DP. Bronchobiliary and bronchopleural fistulas. Ann Thorac Surg 1977;24:481-7. https://doi.org/10.1016/S0003-4975(10)63443-1
  15. Yilmaz U, Sahin B, Hilmioglu F, Tezel A, Boyacioglu S, Cumhur T. Endoscopic treatment of bronchobiliary fistula: report on 11 cases. Hepatogastroenterology 1996;43:293-300.

피인용 문헌

  1. A Biliobronchial Fistula in a Patient With Hepatocellcular Carcinoma Treated With Chemoembolization Diagnosed by Hepatobiliary Iminodiacetic Acid Scan and Managed by Endoscopic Retrograde Cholangiopan vol.10, pp.6, 2012, https://doi.org/10.14740/gr904w
  2. Endoscopic Management of Bronchobiliary Fistula after Multiple Transcatheter Arterial Chemoembolizations for Hepatocellular Carcinoma vol.24, pp.1, 2012, https://doi.org/10.15279/kpba.2019.24.1.35