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Radiol Oncol. 2013 Mar;47(1):77-85. doi: 10.2478/raon-2013-0003. Epub 2013 Feb 1.

Thoracobiliary fistulas: literature review and a case report of fistula closure with omentum majus.

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1
Department of Thoracic Surgery, University Clinical Center Maribor, Maribor, Slovenia.

Abstract

BACKGROUND:

Thoracobiliary fistulas are pathological communications between the biliary tract and the bronchial tree (bronchobiliary fistulas) or the biliary tract and the pleural space (pleurobiliary fistulas).

REVIEW OF THE LITERATURE:

We have reviewed aetiology, pathogenesis, predilection formation points, the clinical picture, diagnostic possibilities, and therapeutic options for thoracobiliary fistulas.

CASE REPORT:

A patient with an iatrogenic bronchobiliary fistula which developed after radiofrequency ablation of a colorectal carcinoma metastasis of the liver is present. We also describe the closure of the bronchobiliary fistula with the greater omentum as a possible manner of fistula closure, which was not reported previously according to the knowledge of the authors.

CONCLUSIONS:

Newer papers report of successful non-surgical therapy, although the bulk of the literature advocates surgical therapy. Fistula closure with the greater omentum is a possible method of the thoracobiliary fistula treatment.

KEYWORDS:

bronchobiliary fistula; omentum majus; thoracobiliary fistula; treatment

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