A hepatobronchial fistula in a patient with cholangiocarcinoma |
Jeong Hoon Kim, Sang Hoon Bae, Young Seok Bae, Kwang Jae Lee, Jun Ho Hong, Jeong Bin Yoon, In Soo Je |
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간내 담관암 환자에서 발생한 간기관지루 1예 |
김정훈·배상훈·배영석·이광재·홍준호·윤정빈·제인수, Sang Hoon Bae, Young Seok Bae, Kwang Jae Lee, Jun Ho Hong, Jeong Bin Yoon, In Soo Je |
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Abstract |
We report an uncommon hepatobronchial fistula in a patient with a liver abscess and cholangiocarcinoma. A 66-year-old man
was admitted because of a fever, right upper quadrant pain, and hemoptysis with a fishy smell. At admission, computed tomography
showed an intrahepatic abscess located near the dome. Diagnostic percutaneous transhepatic cavitography disclosed a hepatobronchial
fistula and a biopsy revealed intrahepatic cholangiocarcinoma. After antibiotic therapy and percutaneous drainage of the hepatic
abscess for 5 weeks, his symptoms disappeared. However, he died of sepsis from cholangitis and pneumonia despite surgery
and intensive medical treatment. (Korean J Med 77:S1137-S1141, 2009) |
Key Words:
Hepatobronchial fistula; Liver abscess; Cholangiocarcinoma |
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