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Percutaneous Bronchial Embolization to Treat Intractable Bronchobiliary Fistula

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Abstract

Sixty-four-year-old female who underwent hemi-hepatectomy for intrahepatic cholangiocarcinoma a year ago presented with biliary sputum, cough and fever. Cross-sectional imaging showed a recurred tumor involving right diaphragmatic area and an abscess formation in liver dome with adjacent right lower lobe of lung. Percutaneous transhepatic biliary drainage and percutaneous drainage of lung abscess were performed. Tubogram showed connections between the lung abscess cavity and multiple distal bronchi, suggesting bronchobiliary fistulas. Two weeks of drainage treatment did not relieve symptoms. We successfully treated intractable bronchobiliary fistula via image-guided percutaneous access to closest distal bronchi near abscess with subsequent tandem placement of vascular plugs.

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Authors and Affiliations

  1. Department of Radiology, Seoul National University Hospital, Seoul, Republic of Korea

    Seowoo Lee

  2. Department of Radiology, Center for Liver Cancer, National Cancer Center, 323 Ilsan-ro, Ilsandong-gu, Goyang-si, Gyeonggi-do, 10408, Republic of Korea

    Jae Hwan Lee, Hyun Beom Kim & In Joon Lee

Authors
  1. Seowoo Lee
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  2. Jae Hwan Lee
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  3. Hyun Beom Kim
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  4. In Joon Lee
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Correspondence to Jae Hwan Lee.

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The authors have no conflict of interests or financial disclosures.

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Consent for publication was obtained for patient data included in the study.

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Lee, S., Lee, J.H., Kim, H.B. et al. Percutaneous Bronchial Embolization to Treat Intractable Bronchobiliary Fistula. Cardiovasc Intervent Radiol 42, 784–786 (2019). https://doi.org/10.1007/s00270-019-02166-0

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  • DOI: https://doi.org/10.1007/s00270-019-02166-0

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