[Left localization of biliobronchial fistula: Exceptional complication of hepatic hydatidosis]

Abstract

Introduction: The biliobronchial fistula of hydatic origin is a rare complication and the left localization is exceptional.

Observation: We report the case of a 26-year-old patient from the rural area who was referred to us for treatment of biliptysis. The thoracic and abdominal computed tomography diagnosed a left biliobronchial fistula was. Management consisted of primary endoscopic sphincterotomy, followed by left exclusive thoracotomy surgery to treat pulmonary, hepatic and diaphragmatic repair. The evolution was favorable with disappearance of the biliptysie.

Conclusion: The diagnosis of left biliobronchial fistula requires a precise assessment not only by the imagery but also the bronchial fibroscopy allowing the acurate localisation of the lesion before any surgical enterprise.

Keywords: Biliobronchial fistula; Biliptysie; Biliptysis; Fistule biliobronchique; Hydatidose; Hydatidosis; Sphincterotomy; Sphinctérotomie; Thoracotomie; Thoracotomy.