Año 2022 / Volumen 114 / Número 12
Carta
Bronchial-biliary fistula secondary to cholangiocarcinoma: long-term efficacy of biliary self-expandable metal stent

758-760

DOI: 10.17235/reed.2022.8970/2022

Emanuel Dias, Hélder Cardoso, Pedro Pereira, Pedro Moutinho-Ribeiro, Guilherme Macedo,

Resumen
A 77-year-old female with previous medical history of non-cirrhotic chronic hepatitis B and hepatocellular carcinoma treated with sequential partial hepatectomy followed by transarterial chemoembolization complained of pruritus and jaundice. Magnetic resonance cholangiopancreatography revealed a peri-hilar ill-defined stenosing lesion suggestive of malignancy. Endoscopic retrograde cholangiopancreatography with cholangioscopy confirmed a circumferential peri-hilar stenosis with fragile mucosa and tortuous dilated vessels and biopsies of this area were consistent cholangiocarcinoma. After 3 months, she presented with new-onset dyspnea and bilioptysis and abdominal computed tomography revealed a bronchial-biliary fistula. ERCP was performed to place a self-expandable metal stent in the biliary tract, which resulted in rapid clinical improvement. The patient has been followed for 2 years and remains globally stable with two episodes of worsening of bilioptysis secondary to stent obstruction by lithiasis that were easily resolved with Fogarty balloon-assisted extraction, with rapid improvement. This case demonstrates the long-term efficacy of endoscopic biliary drainage with self-expandable metallic stent for bronchial-biliary fistula in the setting of cholangiocarcinoma. 
Share Button
Nuevo comentario
Comentarios
No hay comentarios para este artículo.
Bibliografía
1. Takakusagi S, Hoshino T, Takagi H, et al. The development of broncho-biliary fistula after treatment for hepatocellular carcinoma: a report of two cases. Clin J Gastroenterol. 2021;14(1):229-37.
2. Di Martino M, Laganá C, Delgado Valdueza J, Martín-Pérez E. A bronchobiliary fistula due to giant hydatid cyst. Rev Esp Enferm Dig. 2017;109(6):462-3.
3. Álvarez Delgado A. Endoscopic closure systems for perforations, fistulas, and leaks. In expert hands or in all endoscopy units? Rev Esp Enferm Dig. 2020;112(5):335-7.
4. 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(33):3842-9.
5. Tsema I, Slobodianyk V, Rahushyn D, et al. Non-Operative Management of Bronchobiliary Fistula Due to Proximal Migration of Biliary Stent in a Patient With Unresectable Klatskin Tumor. Clin Med Insights Case Rep. 2021;14:11795476211043067.
Artículos relacionados

Imagen en Patología Digestiva

Malignización de neoplasia papilar intraductal de la vía biliar

DOI: 10.17235/reed.2021.8193/2021

Carta al Editor

Metástasis cutánea esternal de colangiocarcinoma hiliar

DOI: 10.17235/reed.2017.4979/2017

Carta al Editor

Lupus como manifestación paraneoplásica de colangiocarcinoma

DOI: 10.17235/reed.2016.4064/2015

Instrucciones para citar
Dias E, Cardoso H, Pereira P, Moutinho-Ribeiro P, Macedo G. Bronchial-biliary fistula secondary to cholangiocarcinoma: long-term efficacy of biliary self-expandable metal stent. 8970/2022


Descargar en un gestor de citas

Descargue la cita de este artículo haciendo clic en uno de los siguientes gestores de citas:

Métrica
Este artículo ha sido visitado 771 veces.
Este artículo ha sido descargado 43 veces.

Estadísticas de Dimensions


Estadísticas de Plum Analytics

Ficha Técnica

Recibido: 28/05/2022

Aceptado: 06/06/2022

Prepublicado: 15/06/2022

Publicado: 12/12/2022

Tiempo de prepublicación: 18 días

Tiempo de edición del artículo: 198 días


Compartir
Este artículo aun no tiene valoraciones.
Valoración del lector:
Valora este artículo:




Asociación Española de Ecografía Digestiva Sociedad Española de Endoscopia Digestiva Sociedad Española de Patología Digestiva
La REED es el órgano oficial de la Sociedad Española de Patología Digestiva, la SociedadEspañola de Endoscopia Digestiva y la Asociación Española de Ecografía Digestiva
Política de cookies Política de Privacidad Aviso Legal © Copyright 2023 y Creative Commons. Revista Española de Enfermedades Digestivas