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


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
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