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CASE REPORT
Post-traumatic bronchobiliary fistula
  1. Niladri Banerjee,
  2. Amulya Rattan,
  3. Pratyusha Priyadarshini and
  4. Subodh Kumar
  1. Division of Trauma Surgery and Critical Care, JPN Apex Trauma Centre, All India Institute of Medical Sciences, New Delhi, India
  1. Correspondence to Dr Pratyusha Priyadarshini, pratyushaaiims{at}yahoo.co.in

Abstract

Post-traumatic bronchobiliary fistula (BBF) is a rare entity, with only a few cases reported worldwide. Bilioptysis is pathognomonic of the condition, however, bronchoscopy and bronchoalveolar lavage along with CT are used for confirmation. We describe this condition in a young woman who presented to us with bilioptysis following a laparotomy for blunt torso trauma. Diagnosis was made of BBF, followed by surgical management and complete recovery. We emphasise the signs of early diagnosis, confirmatory tests, individualised treatment and advocate surgical management as the gold standard of treatment.

  • biliary intervention
  • trauma
  • general surgery
  • gastrointestinal surgery

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Footnotes

  • Contributors NB contributed to the conception and design, acquisition of data and interpretation of data. NB and AR contributed to manuscript writing, literature review and formatting. SK and PP contributed to critical revisions and formatting of manuscript. All authors were involved in providing clinical care in the case described.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Patient consent for publication Obtained.

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