Nuretdin SUNA, Ufuk Barış KUZU, Mahmut YÜKSEL, Muhammet Yener AKPINAR, Selçuk DİŞİBEYAZ, Erkan PARLAK

Karaciğer kist hidatiğine bağlı gelişen bronkobiliyer fistül: olgu sunumu

Bronkobiliyer fistül, biliyer sistem ile bronş sistemi arasında defektif geçiş olması ile karakterize nadir görülen bir durumdur. Daha çok karaciğer kist hidatik veya amibik hastalığı, kolelitiazis, koledokolitiazis, peptik ülser, malignite, konjenital malformasyonlar ve cerrahiye sekonder bir komplikasyon olarak ortaya çıkmaktadır. Tedavisinde cerrahi yöntemlerinde, morbidite ve mortalite oranı yüksek olduğundan günümüzde daha az invaziv yöntemler tercih edilmektedir. Bu yazıda karaciğer kist hidatiğine bağlı gelişen bronkobiliyer fistüllü olgunun, endoskopik retrograd kolanjiopankreatografi yöntemi ile hem tanı konulmasını hem de tedavi edilmesini sunuyoruz

Anahtar Kelimeler:

Bronchobiliary fistula, endoscopic retrograde cholangiopancreatogaphy

Bronchobiliary fistula due to hydatid disease of the liver: a case report

Bronchobiliary fistula is a rare condition characterized by an abnormal connection between the biliary and bronchial system. The condition can be caused by hydatid cysts, amoebic disease, cholelithiasis, choledocholithiasis, peptic ulcer, malignancies, congenital malformations and surgery. The risk of morbidity and mortality inherent with surgical intervention makes less invasive methods preferred. Herein, we report a case in which endoscopic retrogradcholangio pancreatography was used for the diagnosis and treatment of a bronchobiliary fistula

Keywords:

Bronkobiliyer fistül, endoskopik retrograd kolanjiopankreatograf,

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1. Andalkar L, Trow TK, Motroni B, Katz DS. Bro nchobiliary fistula as a complication of liver metastases: diagnosis by HIDA scan. Clin Nucl Med 2004;29:289 -91.
2. Khandelwal M, Inverso N, Conter R, Campbell D. Endoscopic management of a bronchobiliary fistula. J Clin Gastroenterol 1996;23:125-7.
3. Kaido T, Kano M, Suzaki S et al. Bronchobiliary fistula after hepatectomy for hepatocellular carcinoma. Dig Dis Sci 2006;51:1117-2
4. Gerazounis M, Athanassiadi K, Metaxas E, et al. Bronchobiliary fistulae due to echinococcosis. Eur J Cardiothorac Surg 2002;22:306-8.
5. Kabiri EH, El Maslout A, Benosman A. Thoracic rupture of hepatic hydatidosis (123 cases). Ann Thorac Surg 2001;72:1883-6.
6. Peacock TB. Case in which hydatids were expectorated and one of suppuration of a hydatid cyst of the liver communicating with the lungs. Edinburgh Med Surg J 1850;74:33-46
7. Liao GQ, Wang H, Zhu GY, et al. Management of acquired bronchobiliary fistula: A systematic literature review of 68 cases published in 30 years World J Gastroenterol 2011;17: 3842-9.
8. Karabulut N, Cakmak V, Kiter G. Confident diagnosis of bronchobiliary fistula using contrast-enhanced magnetic resonance cholangiography. Korean J Radiol 2010;11:493-6.
9. Annovazzi A, Viceconte G, Romano L, et al. Detection of a suspected bronchobiliary fistula by hepatobi¬liary scintigraphy. Ann Nucl Med 2008;22:641-3.
10. D’Altorio RA, Mcallister JD, Sestric GB, Cichon PJ. Hepatopulmonary fistula: Treatment with biliary metallic endoprothesis. Am J Gastroenterol 1992;87:784-6.
11. Bird R, Fagen K, Taysom D, Silverman ED. A case of bronchobiliary fistula in the setting of adult polycystic kidney and liver disease, with a review of the literature. Clin Nucl Med 2005;30:326-8.
12. Brem H, Gibbons GD, Cobb G, et al. The use of endoscopy to treat bronchobiliary fistula caused by choledocholithiasis. Gastroenterology 1990;98:490-2.
13. Goldman SY, Greben CR, Setton A, et al. Bronchobiliary fistula success¬fully treated with n-butyl cyanoacrylate via a bronchial ap¬proach. J Vasc Interv Radiol 2007;18:151-5.
14. Kim JH, Kim MD, Lee YK, et al. Bronchobiliary fistula treated with histoacryl embolization under bronchoscopic guidance: A case report. Respiratory Medicine CME 2008;1:164-8.
15. 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.
16. Rose DM, Rose AT, Chapman WC, et al. Management of bronchobiliary fistula as a late complication of hepatic resection. Am Surg 1998;64:873-6.