J.Jpn. Surg. Soc.
ISSN 1880-1129

[Abstract] [Full Text PDF] （in Japanese / 2448KB） [Members Only And Two Factor Auth.]

J.Jpn. Surg. Soc.. 95(9): 712-715, 1994

Case report

HEPATOBRONCHIAL FISTULA CAUSED BY INTRAHEPATIC BILE DUCT CARCINOMA

1) Department of Surgery, Hyogo National Hospital, Kobe, Japan
2) Second Department of Surgery, Kobe University, Kobe, Japan
3) First Department of Pathology, Kobe University, Kobe, Japan

Masao Yasufuku1), Hajime Yamamoto1), Hidehiro Yamamoto1), Ryuta Aogauchi1), Akinori Sasada2), Keisuke Hanioka3)

A 49-year-old female was complaining of persistent cough. CT-scan revealed abscess in the right hepatic lobe. Diagnostic percutaneous trans-hepatic abscessography disclosed hepatobronchial fistula, and biopsy of the lesion revealed intrahepatic bile duct carcinoma. She underwent right hepatic lobectomy, right pulmonary lower Iobectomy and partial resection of the diaphragm, with removal of the fistulous tract. After operation, cough disappeared, but she died of intraabdominal hemorrhage, 40 days after operatlon.

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