/Congenital Bronchobiliary Fistula

Abstract

A 26-year-old female was admitted to our hospital because of fever, cough and yellow sputum. E.coli was cultured in sputum. Bronchoscopy revealed an anomalous bronchus located between the normal right and left main bronchi. The yellowish sputum came from the anomalous bronchus. The lesion was diagnosed as congenital bronchobiliary fistula by bronchography and 99mTc-HIDA hepatobiliary scintigram. The fistula extended from the carina to the left hepatic bile duct. Bronchography revealed the bronchiectasis of right middle and lower lobe. The resection of the fistula and right middle and lower lobectomies were performed. The recovery was uneventful. Congenital bronchobiliary fistula is very rare. Only 11 cases were reported in English language journals. All cases reported were less than three years of age. This may be the first case report seen in an adult.