Bronchobiliary fistula: a rare complication of hepatic endometriosis

Jochen Schuld, Schuld J, Christoph Justinger, Justinger C, Mathias Wagner, Wagner M, Bohle RM, Rainer M. Bohle, Kollmar O, Otto Kollmar, Schilling MK, Martin K. Schilling, Richter S, Sven Richter
Fertility and sterility · 2010 · vol. 95(2) , pp. 804.e15–804.e18 · doi:10.1016/j.fertnstert.2010.07.1087 · PMID:20817157 · W2001814123
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This paper describes bronchobiliary fistula as a rare complication of hepatic endometriosis.

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Abstract

ObjectiveTo report the case and surgical therapy of a patient with bilioptysis after vaginal delivery, caused by bronchobiliary fistula. Histologic analysis revealed endometrial glands embedded in the decidual stroma neighboring the liver and the lung.DesignCase report.SettingUniversity hospital.Patient(s)A 39-year-old patient, 7 days after vaginal delivery, without endometrial history.Intervention(s)Synchronous liver and lung resection of a bronchobiliary fistula by laparotomy and a transdiaphragmatic approach.Main outcome measure(s)For complicated brochobiliary fistula caused by endometriosis, radical surgical treatment is mandatory.Result(s)Histopathologic analyses confirmed the presence of clusters of endometrial glands embedded in the decidual stroma that were neighboring the liver, and perifistulous lung tissue was shown to contain biliary pigment absorbed by macrophages and their derivatives.Conclusion(s)Hepatic and perihepatic endometriosis can cause a bronchobiliary fistula. Exacerbation of the symptoms can be triggered by high estrogen levels, physiologically dominating the last trimester. For such a rare case, surgery is mandatory.

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Condition tags

endometriosis

MeSH descriptors

Biliary Fistula Biliary Tract Diseases Bronchial Fistula Endometriosis Liver Diseases Adult Biliary Fistula Biliary Fistula Biliary Fistula Biliary Fistula Biliary Tract Diseases Biliary Tract Diseases Biliary Tract Diseases Biliary Tract Diseases Bronchial Fistula Bronchial Fistula Bronchial Fistula Bronchial Fistula Endometriosis Endometriosis

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Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

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Cited by (14)

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