{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,4]],"date-time":"2026-03-04T21:58:52Z","timestamp":1772661532457,"version":"3.50.1"},"reference-count":24,"publisher":"Wiley","license":[{"start":{"date-parts":[[2011,9,22]],"date-time":"2011-09-22T00:00:00Z","timestamp":1316649600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/3.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["HPB Surgery"],"published-print":{"date-parts":[[2011,9,22]]},"abstract":"<jats:p><jats:italic>Background<\/jats:italic>. \n                  Biliobronchial fistula (BBF) is a rare \n                  complication in the natural history of liver \n                  hydatid disease by <jats:italic>Echinococcus \n                  granulosus<\/jats:italic>. We present a case of BBF \n                  after resection of a giant liver hydatid cyst in \n                  a 72-year-old woman. <jats:italic>Case \n                  Report<\/jats:italic>. A total cystpericystectomy was \n                  done, leaving the left lateral section of the \n                  liver that was fixed to the diaphragm. \n                  Postoperatively, the patient developed \n                  obstructive jaundice. An ERCP showed an \n                  obstruction at the junction of the left biliary \n                  duct and the main biliary duct and contrast \n                  leak. At reoperation, the main duct was ischemic, \n                  likely due to torsion along its longitudinal \n                  axis. A hepatotomy was done at the hilar plate, \n                  and the biliary duct was dissected and \n                  anastomosed to a Roux-en-Y jejunal loop. She was \n                  discharged without complications. Five months \n                  later, the patient developed cholangitis and was \n                  successfully treated with antibiotics. However, \n                  she suffered repeated respiratory infections, and \n                  four months later she was admitted to the \n                  hospital with fever, cough, bilioptysis, and \n                  right lower lobe pneumonia. The diagnosis of BBF \n                  was confirmed with  Mebrofenin \n                  scintigraphy. At transhepatic cholangiography, \n                  bile duct dilation was seen, with a \n                  biliothoracic leak. She underwent  dilatation \n                  of cholangiojejunostomy stricture with \n                  placement of an external-internal catheter. The \n                  catheter was removed 3.5 months later, and two \n                  years later the patient remains in very good \n                  condition. <jats:italic>Conclusion<\/jats:italic>. An \n                  indirect treatment of the BBF by percutaneous \n                  transhepatic dilation of the biliary stenosis \n                  avoided a more invasive treatment, with \n                  satisfactory outcome.<\/jats:p>","DOI":"10.1155\/2011\/347654","type":"journal-article","created":{"date-parts":[[2011,9,22]],"date-time":"2011-09-22T19:04:07Z","timestamp":1316718247000},"page":"1-4","source":"Crossref","is-referenced-by-count":6,"title":["Biliobronchial Fistula after Liver Surgery for Giant Hydatid Cyst"],"prefix":"10.1155","volume":"2011","author":[{"given":"Carmelo","family":"Loinaz","sequence":"first","affiliation":[{"name":"Unidad de Cirug\u00eda General, Fundaci\u00f3n Hospital Alcorc\u00f3n, Budapest 1, Alcorc\u00f3n, 28922 Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Teresa","family":"Hern\u00e1ndez","sequence":"additional","affiliation":[{"name":"Area de Radiolog\u00eda y Medicina Nuclear, Fundaci\u00f3n Hospital Alcorc\u00f3n, 28922 Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mercedes","family":"Mitjavila","sequence":"additional","affiliation":[{"name":"Area de Radiolog\u00eda y Medicina Nuclear, Fundaci\u00f3n Hospital Alcorc\u00f3n, 28922 Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jaime","family":"Mart\u00edn","sequence":"additional","affiliation":[{"name":"Unidad de Cirug\u00eda General, Fundaci\u00f3n Hospital Alcorc\u00f3n, Budapest 1, Alcorc\u00f3n, 28922 Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Federico","family":"Ochando","sequence":"additional","affiliation":[{"name":"Unidad de Cirug\u00eda General, Fundaci\u00f3n Hospital Alcorc\u00f3n, Budapest 1, Alcorc\u00f3n, 28922 Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2950-7230","authenticated-orcid":true,"given":"Maria 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