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Bronchobiliary fistula: a rare complication after pancreaticoduodenectomy
  1. Florence-Damilola Odufalu,
  2. Josiah Zubairu,
  3. William Silverman
  1. University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA
  1. Correspondence to Dr William Silverman, william-silverman{at}


Biliary anatomic pathologies are rare disease occurrences that can result from a number of causes, most commonly iatrogenic, infectious and malignant aetiologies. Communications between the biliary and bronchial systems are even rarer and few cases have been documented in the literature. The present study describes a case of a 70-year-old man who underwent a pancreaticoduodenectomy (Whipple Procedure) as a curative procedure for an early stage neuroendocrine tumour. He presented nearly a decade after surgery with a communication between the biliary and bronchial tree initially manifesting as bilioptysis. His underlying medical conditions and poor clinical picture made treatment options limited. Therefore, he was treated conservatively with percutaneous biliary balloon dilation of the anastomotic stricture followed by temporary percutaneous internal/external drain and made a full recovery.

  • biliary intervention
  • intervention
  • GI-stents

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  • Contributors F-DO: assisted with the development of concept for this manuscript; was integral to collection of the data and with writing the manuscript. JZ: supported the team’s collection of data and provided feedback and review of the manuscript. WS: is the senior author of the manuscript; designed and organised the manuscript and made necessary editorial changes as required by British Medical Journal.

  • 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.

  • Patient consent Obtained.

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

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