A RARE CASE OF BRONCHOBILIARY FISTULA

Bronchobiliary fistula represents abnormal fistulous communication between pleuroparenchymal and hepatobiliary system. For the past 30 yrs, only 68 cases of bronchobiliary fistula have been reported worldwide emphasizing the rarity of the condition . Here we report a case of 43yr male with hepatic abscess initially had hemoptysis later complicated with bilioptysis.The abscess was seen rupturing into right pleural space demonstrated in right pleural space confirmed by ERCP images which demonstrated the spillage of dye from right intra hepatic biliary system into right pleural space. Following which a stent was placed in the right intrahepatic biliary system. Patient showed clinical improvement and became symptom free. He is stable for past 3 months and on regular follow up. Our presentation highlights the need for careful elicitation of history and clinical examination of the sputum with timely intervention in the management of such complicated cases.