抄録
A 67 year-old female complained of biliptysis. Her chest X-ray film showed collapse of the righ middle lobe, infiltrates of the left lower lung field, and right subphrenic calcified opacities. 99mTc-E-HIDA liver-biliary system scintigraphy revealed communication between the right middle lobe bronchus and the biliary system. This case was diagnosed as bronchobiliary fistula with biliptysis. Closure and drainage of the fistula were performed but effects were temporary. She died of cachexia. Autopsy revealed congenital hepatic lobulation anomaly, the abnormally situated bile duct system, and inflammatory stenosis of the common hepatic duct with stones. The stenotic common hepatic duct penetrated through the diaphragm into the right middle bronchi.
