Post-traumatic biliopleural fistula treated with endoscopic retrograde cholangiopancreatography: a case report

Submitted: April 17, 2023
Accepted: May 26, 2023
Published: June 15, 2023
Abstract Views: 392
PDF: 184
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Thoracobiliary fistulae are a rare disorder caused by iatrogenic injury or trauma. Because these fistulae are uncommon, no standard of care has been established, but non-operative management (NOM) is often advised. As a result, endoscopic retrograde cholangiopancreatography (ERCP) appears to be playing a growing role in the treatment of select cases. A 42-year-old male patient involved in a street fight developed a biliopleural fistula as a result of an abdominal penetrating injury. Even in the lack of a clearly defined site of biliary leak, NOM and ERCP have proven to be safe and effective therapy in this case.

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Hollands MJ, Little JM. Post-traumatic bile fistulae. J Trauma 1991;31:117–20. DOI: https://doi.org/10.1097/00005373-199101000-00023
Navsaria PH, Adams S, Nicol AJ. Traumatic thoracobiliary fistulae: a case report with a review of the current management options. Injury 2002;33:639–43. DOI: https://doi.org/10.1016/S0020-1383(02)00072-4
Andrade-Alegre R, Ruiz-Valdes M. Traumatic thoracobiliary (pleurobiliary and bronchobiliary) fistula. Asian Cardiovasc Thorac Ann 2013;21:43–7. DOI: https://doi.org/10.1177/0218492312454667
Marcos-Ramírez ER, Téllez-Aguilera A, Ramírez-Morín MA, et al. Endoscopic retrograde cholangiopancreatography for treatment biliopleural fistulas. Cir Cir 2021;89:89–96. DOI: https://doi.org/10.24875/CIRU.20000055
Coccolini F, WSES-AAST Expert Panel, Kobayashi L, et al. Duodeno-pancreatic and extrahepatic biliary tree trauma: WSES-AAST guidelines. World J Emerg Surg 2019;14:56. DOI: https://doi.org/10.1186/s13017-019-0278-6
Siegel JH. ERCP update: Diagnostic and therapeutic applications. Gastrointest Radiol 1978;3:311–8. DOI: https://doi.org/10.1007/BF01887085
Liao G-Q, Wang H, Zhu G-Y, Zhu K-B, et al. Management of acquired bronchobiliary fistula: A systematic literature review of 68 cases published in 30 years. World J Gastroenterol 2011;17:3842–9. DOI: https://doi.org/10.3748/wjg.v17.i33.3842
Crnjac A, Pivec V, Ivanecz A. Thoracobiliary fistulas: literature review and a case report of fistula closure with omentum majus. Radiol Oncol 2013;47:77–85. DOI: https://doi.org/10.2478/raon-2013-0003
Rothberg ML, Klingman RR, Peetz D, et al. Traumatic thoracobiliary fistula. Ann Thorac Surg 1994;57:472–5. DOI: https://doi.org/10.1016/0003-4975(94)91022-7
Tesfaye S, Tiruneh AG, Tesfaye M, Gulilat D. Biliopleural fistula after penetrating thoracoabdominal injury: A case report. Int J Surg Case Rep 2022;94:107126. DOI: https://doi.org/10.1016/j.ijscr.2022.107126
Coccolini F, Coimbra R, Ordonez C et al. Liver trauma: WSES 2020 guidelines. World J Emerg Surg 2020;15:24. DOI: https://doi.org/10.1186/s13017-020-00302-7
Aydin U, Yazici P, Tekin F, et al. A. Minimally invasive treatment of patients with bronchobiliary fistula: a case series. J Med Case Rep 2009;3:23. DOI: https://doi.org/10.1186/1752-1947-3-23
Goff JS. The human sphincter of Oddi: Physiology and pathophysiology. Arch Intern Med 1988;148:2673. DOI: https://doi.org/10.1001/archinte.1988.00380120115023
Singh B, Moodley J, Sheik-Gafoor MH, et al. A. Conservative management of thoracobiliary fistula. Ann Thorac Surg 2002;73:1088–91. DOI: https://doi.org/10.1016/S0003-4975(02)03382-9
Cohen SA, Siegel JH, Kasmin FE. Complications of diagnostic and therapeutic ERCP. Abdom Imaging 1996;21:385–94. DOI: https://doi.org/10.1007/s002619900089
Griffen M, Ochoa J, Boulanger BR. A minimally invasive approach to bile peritonitis after blunt liver injury. Am Surg 2000;66:309–12. DOI: https://doi.org/10.1177/000313480006600317

How to Cite

Bergna, A., Salvetti, F., Leati, G., Monti, M., & Segalini, E. (2023). Post-traumatic biliopleural fistula treated with endoscopic retrograde cholangiopancreatography: a case report. Case Reports in Emergency Surgery and Trauma, 1(1). https://doi.org/10.4081/crest.2023.3