Bronchopleurobiliary fistula. A complication of intrahepatic biliary stent migration.

Abstract:

:We describe the management of bronchopleurobiliary fistula in a 56-year-old woman who underwent a (L) mastectomy with postoperative radio- and chemotherapy for advanced breast carcinoma and required insertion of inhabiliary Silastic stents for the relief of severe obstructive jaundice. During restaging of her carcinoma for further chemotherapy, she complained of dyspnea, right chest pain and productive cough with yellow sputum. Her chest x-ray film and thoraco-abdominal CT scan demonstrated right pleural effusion with a stent protruding through the right hemidiaphragm. The objective evidence of bile in the pleural aspirate with history of bile-stained sputum established the diagnosis of bronchopleurobiliary fistula resulting from biliary stent migration.

journal_name

Chest

journal_title

Chest

authors

Dasmahapatra HK,Pepper JR

doi

10.1378/chest.94.4.874

subject

Has Abstract

pub_date

1988-10-01 00:00:00

pages

874-5

issue

4

eissn

0012-3692

issn

1931-3543

pii

S0012-3692(16)30601-8

journal_volume

94

pub_type

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