Distal bile duct cancers complicated with cholangiobronchopleural fistula after ERCP: A case report

Zhang,Changsong; Yang,Guangshun; Ling,Yang; Chen,Guihua; Zhou,Tianbao

doi:10.3892/ol.2014.2342

October 2014 Volume 8 Issue 4

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October 2014 Volume 8 Issue 4

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Case Report

Distal bile duct cancers complicated with cholangiobronchopleural fistula after ERCP: A case report

Authors:
- Changsong Zhang
- Guangshun Yang
- Yang Ling
- Guihua Chen
- Tianbao Zhou
View Affiliations / Copyright

Affiliations: Clinical Oncology Laboratory, Changzhou Tumor Hospital, Medical College of Soochow University, Changzhou, Jiangsu 213002, P.R. China, The Eastern Hepatobiliary Surgery Hospital, The Second Military Medical University, Shanghai 200438, P.R. China, Clinical Oncology Laboratory, Changzhou Tumor Hospital, Medical College of Soochow University, Changzhou, Jiangsu 213002, P.R. China, The Hepatic Surgery Center, The Third Affiliated Hospital, Sun Yat‑Sen University, Guangzhou, Guangdong 510630, P.R. China, The Hepatobiliary Surgery Centre, The Affiliated Ningbo No. 2 Hospital, Ningbo University School of Medicine, Ningbo, Zhejiang 315010, P.R. China
Pages: 1828-1830
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Published online on: July 10, 2014

https://doi.org/10.3892/ol.2014.2342
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Abstract

Distal (lower) bile duct cancers arise in the lower half of the biliary tree closer to the small intestine. Biliary disease complicated with cholangiobronchopleural fistula, which may occur in cases of multiple hepatobiliary stones or biliary ascariasis‑associated severe infection, has rarely been reported in the literature, particularly following endoscopic retrograde cholangiopancreatography (ERCP). The present study describes the case of a 60‑year‑old female with distal cholangiocarcinoma complicated with cholangiobronchopleural fistula after ERCP for this rare disease. This complication was likely due to the inability to control retrograde infection following ERCP and, thus, the infection was disseminated. This resulted in mixed infection involving the diaphragm and pleura, and further penetrating the bronchus. The patient was managed with pancreatoduodenectomy and has since remained in good health.

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Journals

International Journal of Molecular Medicine

International Journal of Oncology

Molecular Medicine Reports

Oncology Reports

Experimental and Therapeutic Medicine

Oncology Letters

Biomedical Reports

Molecular and Clinical Oncology

World Academy of Sciences Journal

International Journal of Functional Nutrition

International Journal of Epigenetics

Medicine International

Distal bile duct cancers complicated with cholangiobronchopleural fistula after ERCP: A case report

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Abstract

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