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J Chir (Paris). 1991 Apr;128(4):188-92.

[Bilio-bronchial fistula of hydatid origin. Apropos of 8 cases].

[Article in French]

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Service de Chirurgie Viscérale, C.H.U. Ibnou Rochd, Casablanca, Maroc.


While reporting on 9 cases of bilio-bronchic fistulas of hydatic origin, and with the help of literature data the authors are underlying a number of points: Hidatic bilio-bronchic fistulas are rare and a serious condition responsible of lesions at 3 levels, hepatic, diaphragmatic, and pulmonary. The diagnosis gives no rise to any problem the biliptysia is the main symptom. The treatment is always surgical, the approach is the abdominal way that permits the hepato-bronchic deconnection and the treatment of the hydatic cyst and to ensure the liberty of the common bile duct and to realise an eventuly drainage of the common bile duct to close the fistulous diaphragmatic communication and permit an inter-hepatodiaphragmatic drainage. It's but in front of a preoperatory destruction of a pulmonary lobe or the absence of improval of a pulmonary state post operatively (irreversible bronchectasis, chronic pulmonary sepsis) that the thoracotomy is indicated. The prognosis is severe with an elevated rate of mortality of 12,2% in this series. Showing the necessity of the prenetion of such complication by operating on every hydatic cyst of hepatic dome.

[Indexed for MEDLINE]

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