RESUMO
La fístula biliopleurobronquial (FBB) es una comunicación anormal entre la vía biliar y el árbol bronquial. Es una condición infrecuente, generalmente secundaria a un proceso infeccioso local o a un evento traumático. La bilioptisis es patognomónica. Presentamos el caso de una mujer de 37 años con historia de cirrosis biliar secundaria, en lista para trasplante hepático, con múltiples episodios de colangitis previos y usuaria de derivación biliar externa, quien curso con bilioptisis y mediante gammagrafía HIDA con SPECT se confirmó fistula biliopleurobronquial. Éste caso se resolvió con derivación percutánea de la vía biliar
Bronchobiliary fistula (BBF) is an abnormal communication between the biliary tract and the bronchial tree. Is an infrequent condition, usually secondary to a local infectious process or a traumatic event. Bilioptisis is pathognomonic. We present the case of a 37 year old woman with secondary biliary cirrhosis, in list for liver transplantation, with several episodes of cholangitis and carrier of external biliary diverivation, who presented bilioptisis and HIDA scintigraphy with SPECT confirmed BBF. This case was resolved with percutaneous derivation of the biliary tract
Assuntos
Adulto , Feminino , Humanos , Fístula Biliar/diagnóstico , Fístula Brônquica/diagnóstico , Colecistectomia Laparoscópica/efeitos adversos , Complicações Pós-Operatórias/etiologia , Bile , Ductos Biliares/lesões , Desvio Biliopancreático , Tomografia Computadorizada de Emissão de Fóton Único , Colangite/etiologia , Fístula Biliar/etiologia , Fístula Biliar/diagnóstico por imagem , Fístula Brônquica/etiologia , Fístula Brônquica/diagnóstico por imagem , Tosse , Cateteres , Conversão para Cirurgia Aberta , Cirrose Hepática Biliar/etiologiaRESUMO
Bronchobiliary fistula (BBF) is an abnormal communication between the biliary tract and the bronchial tree. Is an infrequent condition, usually secondary to a local infectious process or a traumatic event. Bilioptisis is pathognomonic. We present the case of a 37 year old woman with secondary biliary cirrhosis, in list for liver transplantation, with several episodes of cholangitis and carrier of external biliary diverivation, who presented bilioptisis and HIDA scintigraphy with SPECT confirmed BBF. This case was resolved with percutaneous derivation of the biliary tract.
