Endobronchial closure of broncho-biliary fistula using Amplatzer device: Case report

Lev Freidkin; Karam Azem; Barak Pertzov; Shimon Izhakian; Dror Rosengarten; Mordechai R Kramer

doi:10.1016/j.rmcr.2023.101943

Endobronchial closure of broncho-biliary fistula using Amplatzer device: Case report

Respir Med Case Rep. 2023 Nov 4:46:101943. doi: 10.1016/j.rmcr.2023.101943. eCollection 2023.

Authors

Lev Freidkin^{1

2}, Karam Azem^{3

2}, Barak Pertzov^{1

2}, Shimon Izhakian^{1

2}, Dror Rosengarten^{1

2}, Mordechai R Kramer^{1

2}

Affiliations

¹ Pulmonary Division, Rabin Medical Center, Petah Tikva, Israel.
² Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
³ Anesthesiology Department, Rabin Medical Center, Petah Tikva, Israel.

Abstract

Broncho-biliary fistula (BBF) is an extremely rare but serious medical condition resulting from pathological communication between the biliary system and the bronchial tree. Treatment options include both surgical and non-surgical approaches. Several endobronchial techniques, such as the spigot and glue, can be used for this purpose. This report discusses a patient who developed a broncho-biliary fistula following a liver biopsy. The BBF was diagnosed during bronchoscopy and successfully treated with an endobronchial Amplatzer device. To the best of our knowledge, this is the first report of the use of the Amplatzer device to manage BBF.

Keywords: Amplatzer; Broncho-biliary; Bronchoscopy; Fistula.

Publication types

Case Reports