Table of Contents
HPB Surgery
Volume 7, Issue 4, Pages 319-326
Case Report

Cholecystobronchocolic Fistula: A Late Complication of Biliary Sepsis

1Department of Radiology, Royal Infirmary of Edinburgh, Edinburgh, Scotland
2Department of Surgery, Royal Infirmary of Edinburgh, Edinburgh, Scotland
3Department of Radiology, Royal Infirmary of Edinburgh, Lauriston Place, Edinburgh EH3 9YW, Scotland

Received 1 May 1993

Copyright © 1994 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


A case of a 48 year old woman presenting with bilioptysis due to a cholecystobronchocolic fistula is reported. Bilioptysis is a rare complication of biliary fistulae, with a high mortality due to chemical pneumonitis. Bronchospasm and rapid respiratory failure may ensue if aggressive management is not adopted. The site of fistulation is established by cholangiography, preferably by the percutaneous transhepatic route. Continued biliary drainage can lead to closure of these fistulae, or allow sufficient improvement in clinical condition to allow definitive surgery to be performed electively.