The Korean Journal of Internal Medicine

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Original Article
Korean J Med. 2009;77(5):1137-1141.
간내 담관암 환자에서 발생한 간기관지루 1예
김정훈·배상훈·배영석·이광재·홍준호·윤정빈·제인수, , , , , ,
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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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)

Keywords :Hepatobronchial fistula, Liver abscess, Cholangiocarcinoma
ics samyangbiopharm Hanmi
yungjin

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