We report a case in which a fistula developed between the biliary system and the bronchial tree as a complication of a pyogenic liver abscess. The presenting radiologic sign of the fistula was blurring of the diaphragm and increased lung markings. There were no apparent clinical signs prior to surgery, and it is assumed that the fistula existed in a latent form. Formation of a fistulous connection between the biliary system and the bronchial tree due to pyogenic liver abscess is a rare condition of which only very few cases have been reported in the world literature. (Respir Care 1988;33:858-860.)
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References
1.
WeiWI, ChoiTK, WongJ, OngGB. Bronchobiliary fistula due to stones in the biliary tree: Report of two cases. World J Surg1982;6:782–785.
2.
LaneRA, ColapintoND. Biliobronchial fistula following pyogenic liver abscess. Can J Surg1983;26:521–522.
3.
NesperM, McGahanJP. Hepatobronchial fistula with percutaneous pyogenic abscess drainage of the liver. Gastrointest Radiol1985;10:129–131.
4.
BretlandPM. Biliary-bronchial fistula due to old hydatid cyst demonstrated with tc-HIDA. Br J Radiol1983;56:757–759.
5.
PappasS, SasakiA, MinukGY. Bronchobiliary fistula presenting as cough with yellow sputum (letter). N Engl J Med1982;307:1027.
