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J Thorac Cardiovasc Surg 2007;133:1662-1663
© 2007 The American Association for Thoracic Surgery

Brief Communication

A case of recurrent biliptysis

Velayutham Vimalraj, MS, Satyanesan Jeswanth, MCh, Eswaran Selvakumar, MS, Damodaran Jyotibasu, MS, Shanmugasundaram Rajendran, MCh, Palaniappan Ravichandran, MCh, Tirupporur Govindaswamy Balachandar, MCh, Devy Gounder Kannan, MCh, Rajagopal Surendran, MCh*

Department of Surgical Gastroenterology and Centre for G.I. Bleed & Division of Hepato Biliary Pancreatic Diseases, Government Stanley Medical College Hospital, Chennai, Tamilnadu, India.

Received for publication December 8, 2006; accepted for publication January 8, 2007.

* Address for reprints: R. Surendran, MCh, Head of Department, Department of Surgical Gastroenterology, Government Stanley Medical College Hospital, Chennai-600001, Tamilnadu, India. (Email: Stanleygastro@yahoo.com).

The first 20% of the full text of this article appears below.


Figure 1
Mr Vimalraj


Bronchobiliary fistulas (BBFs), communications between the bronchus and the biliary system, are rare.1Go We report a case of persistent biliptysis that necessitated hepatectomy. To our knowledge, this is the first reported case of BBF requiring hepatectomy as a treatment.

Clinical Summary

A 30-year-old man was seen with biliptysis and chest pain of 3 years’ duration. History included percutaneous liver abscess drainage in 2002 in a district hospital, after which biliptysis developed. In 2003, the patient underwent endoscopic retrograde cholangiography and stenting, after which he was symptom free for only 3 months. In May 2004, he underwent exploratory thoracotomy with hepatobronchial disconnection; he was apparently all right for 2 weeks and then had biliptysis again. Endoscopic retrograde cholangiography and stenting were done 3 weeks after the exploratory thoracotomy. In December 2004, biliptysis developed once more; endoscopic retrograde cholangiography with stent exchange was done, but the biliptysis persisted.

The patient was referred . . . [Full Text of this Article]






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