Tuberculosis and Respiratory Diseases

The Korean Academy of Tuberculosis and Respiratory Diseases (대한결핵및호흡기학회)
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Bilioptysis Caused by Bronchobiliary Fistula Secondary to Sclerosing Therapy of Liver Cyst

간낭종 경화 치료 후 발생한 기관지담관루에 의한 담즙성 객담 1예

  • Lee, Sang-Hoon (Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Lee, Kyung-Jong (Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Kim, Song-Yee (Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Lee, Sang-Kook (Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Jung, Kyu-Sik (Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Park, Byung-Hoon (Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Jung, Ji-Ye (Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Son, Ji-Young (Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Yoon, Yoe-Wun (Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Kang, Young-Ae (Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Park, Moo-Suk (Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Kim, Young-Sam (Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Chang, Joon (Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Kim, Se-Kyu (Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Moon, Jin-Wook (Department of Internal Medicine, Yonsei University College of Medicine)
  • 이상훈 (연세대학교 의과대학 내과학교실) ;
  • 이경종 (연세대학교 의과대학 내과학교실) ;
  • 김송이 (연세대학교 의과대학 내과학교실) ;
  • 이상국 (연세대학교 의과대학 내과학교실) ;
  • 정규식 (연세대학교 의과대학 내과학교실) ;
  • 박병훈 (연세대학교 의과대학 내과학교실) ;
  • 정지예 (연세대학교 의과대학 내과학교실) ;
  • 손지영 (연세대학교 의과대학 내과학교실) ;
  • 윤여운 (연세대학교 의과대학 내과학교실) ;
  • 강영애 (연세대학교 의과대학 내과학교실) ;
  • 박무석 (연세대학교 의과대학 내과학교실) ;
  • 김영삼 (연세대학교 의과대학 내과학교실) ;
  • 장준 (연세대학교 의과대학 내과학교실) ;
  • 김세규 (연세대학교 의과대학 내과학교실) ;
  • 문진욱 (연세대학교 의과대학 내과학교실)
  • Received : 2010.03.10
  • Accepted : 2010.04.27
  • Published : 2010.08.30
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Abstract

Bronchobiliary fistula is a rare disorder consisting of an abnormal communication between the bronchial tree and the biliary duct. In Western countries, trauma, postoperative biliary stenosis, and biliary lithiasis are the predominant causative factors of bronchobiliary fistula. Bilioptysis (bile stained sputum) is a pathognomic finding for bronchobiliary fistula. To date, there are just a few reported cases of bronchobiliary fistula after sclerosis of a liver cyst. We describe the case of a 74-year-old woman who developed bronchobiliary fistula after sclerosing therapy of a liver cyst. The diagnosis was confirmed by the presence of bilioptysis and the chest and dynamic liver CT findings. The patient was successfully treated with antibiotics and percutaneous transhepatic catheter drainage.

Keywords

References

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