Bronchobiliary fistulae as a complication of untreated pulmonary hydatid cyst presenting with bilioptysis: A report of two cases

Author:

Mardani Parviz12,Kamran Hooman13,Khosravi Fateme3,Shahriarirad Reza1ORCID,Shahabinejad Pardis3ORCID,Geramizadeh Bita45,Soleimani Neda5ORCID,Amirian Armin12

Affiliation:

1. Thoracic and Vascular Surgery Research Center Shiraz University of Medical Science Shiraz Iran

2. Department of Surgery Shiraz University of Medical Sciences Shiraz Iran

3. Student Research Committee Shiraz University of Medical Sciences Shiraz Iran

4. Department of Pathology, School of Medicine Shiraz University of Medical Sciences Shiraz Iran

5. Shiraz Transplant Research Center (STRC) Shiraz University of Medical Sciences Shiraz Iran

Abstract

Key Clinical MessageWe reported two patients, a 45‐year‐old lady and a 48‐year‐old man, known cases of untreated liver and lung hydatid cysts complicated with bronchobiliary fistulae. Surgery was performed, and bronchobiliary fistulae were diagnosed intraoperatively. Lobectomy was done on the lobe, which was chronically infected. Symptoms resolved after surgery in both cases. Green‐colored sputum in a patient with a history of echinococcosis should raise the physician's attention to the probability of a connection between the bronchial tree and the biliary tract. Surgery in advanced cases is a suitable therapeutic option.

Publisher

Wiley

Subject

General Medicine

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