Successful resection of hepatocellular carcinoma with bronchobiliary fistula caused by repeated transcatheter arterial embolizations: Report of a case

Taizo Hibi, Yoshihiro Sakamoto, Hisao Asamura, Naobumi Tochigi, Hidenori Ojima, Kazuaki Shimada, Tsuyoshi Sano, Tomoo Kosuge

Research output: Contribution to journalArticle

12 Citations (Scopus)


Bronchobiliary fistula (BBF) is a rare but life-threatening condition. We herein describe a rescued case of a patient with hepatocellular carcinoma (HCC) who developed BBF as a late complication of transcatheter arterial embolization (TAE). A 66-year-old man underwent repeated TAE for a large HCC during a 3-year period. Massive biliptysis developed after the last treatment and bronchoscopy proved the presence of BBF. Radiological studies exhibited a necrotic HCC in the right liver with a tumor thrombus protruding into the common bile duct. Localized pneumonia was also present in the right lung. A right hemihepatectomy with a bile duct tumor thrombectomy and a right lower lobectomy of the lung were performed. He is presently doing well at 6 months after surgery. Increased intraluminal pressure of the biliary system due to obstruction by the tumor thrombus is considered to have led to the rupture of the liver abscess into the bronchus, thus creating a BBF. This is the first successfully resected case of HCC associated with BBF.

Original languageEnglish
Pages (from-to)154-158
Number of pages5
JournalSurgery today
Issue number2
Publication statusPublished - 2007 Feb 1



  • Bronchobiliary fistula
  • Hepatectomy
  • Hepatocellular carcinoma
  • Transcatheter arterial embolization

ASJC Scopus subject areas

  • Surgery

Cite this