Abstract
We describe a patient presenting with painless jaundice, anorexia and pruritus. The gall bladder was found to be lying above and behind a hypoplastic right lobe of liver. There was no evidence of cholangitis or biliary obstruction. The patient subsequently developed a bronchobiliary fistula with severe wheeze, cough and bile-stained sputum. Emergency percutaneous drainage of the gall bladder led to immediate cessation of bronchospasm and biloptysis, rendering the patient fit for definitive surgery.
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- Amir-Jahed A. K., Sadrieh M., Farpour A., Azar H., Namdaran F. Thoracobilia: a surgical complication of hepatic echinococcosis and amebiasis. Ann Thorac Surg. 1972 Aug;14(2):198–205. doi: 10.1016/s0003-4975(10)65218-6. [DOI] [PubMed] [Google Scholar]
- Boyd D. P. Bronchobiliary and bronchopleural fistulas. Ann Thorac Surg. 1977 Nov;24(5):481–487. doi: 10.1016/s0003-4975(10)63443-1. [DOI] [PubMed] [Google Scholar]
- Faintuch J., Machado M. C., Raia A. A. Suprahepatic gallbladder with hypoplasia of the right lobe of the liver. Arch Surg. 1980 May;115(5):658–659. doi: 10.1001/archsurg.1980.01380050080019. [DOI] [PubMed] [Google Scholar]
- Fortson W. C., Tedesco F. J., Starnes E. C., Shaw C. T. Marked elevation of serum transaminase activity associated with extrahepatic biliary tract disease. J Clin Gastroenterol. 1985 Dec;7(6):502–505. doi: 10.1097/00004836-198512000-00012. [DOI] [PubMed] [Google Scholar]
- Pappas S. C., Sasaki A., Minuk G. Y. Bronchobiliary fistula presenting as cough with yellow sputum. N Engl J Med. 1982 Oct 14;307(16):1027–1027. doi: 10.1056/NEJM198210143071623. [DOI] [PubMed] [Google Scholar]
- Saylam A., Ersoy U., Baris I., Artvinli M., Bozer A. Y. Thoracobiliary fistulas: Report of six cases. Br J Dis Chest. 1974 Oct;68:264–272. doi: 10.1016/0007-0971(74)90050-3. [DOI] [PubMed] [Google Scholar]
- Wei W. I., Choi T. K., Wong J., Ong G. B. Bronchobiliary fistula due to stones in the biliary tree: report of two cases. World J Surg. 1982 Nov;6(6):782–785. doi: 10.1007/BF01655375. [DOI] [PubMed] [Google Scholar]
- Youngwirth L. D., Peters J. C., Perry M. C. The suprahepatic gallbladder. An unusual anatomical variant. Radiology. 1983 Oct;149(1):57–58. doi: 10.1148/radiology.149.1.6611951. [DOI] [PubMed] [Google Scholar]


