Konzervativno lečenje bronhobilijarne fistule procenjivano magnetnom rezonancom

  • Tatjana Adžić-Vukičević Clinic for Pulmonology, Clinical Centre of Serbia, Belgrade, Serbia; Faculty of Medicine, University of Belgrade, Belgrade, Serbia
  • Ana Z. Blanka Clinic for Pulmonology, Clinical Centre of Serbia, Belgrade, Serbia
  • Aleksandra M. Ilić Clinic for Pulmonology, Clinical Centre of Serbia, Belgrade, Serbia; Faculty of Medicine, University of Belgrade, Belgrade, Serbia
  • Snežana V. Raljević Clinic for Pulmonology, Clinical Centre of Serbia, Belgrade, Serbia; Faculty of Medicine, University of Belgrade, Belgrade, Serbia
  • Ružica M. Maksimović Centre for Radiology and Magnetic Resonance Imaging, Clinical Centre of Serbia, Belgrade, Serbia
  • Srdjan P. Djuranović Clinic for Gastroenterology, Clinical Centre of Serbia, Belgrade, Serbia
DOI: https://doi.org/10.2298/5655
Ključne reči: bronchial fistula||, ||fistula, bronhijalna, biliary fistula||, bilijarna, diagnosis||, ||dijagnoza, magnetic resonance imaging||, ||magnetna rezonanca, snimanje, drug therapy||, ||lečenje lekovima,

Sažetak


Uvod. Bronhobilijarna fistula (BBF) predstavlja patološku komunikaciju između bronhijalnog sistema i bilijarnog trakta koja se prezentuje bilioptizijama. Mnoga stanja mogu izazvati njen nastanak. Još uvek ne postoji optimalna terapija za BBF. Konzervativno lečenje je retko indikovano i predhodno je objavljeno samo kod nekoliko bolesnika. Prikaz bolesnika. Prikazali smo ženu, staru 71 godinu, sa BBF koja je nastala nakon predhodne laparotomije zbog multiplih ehinokoknih cisti jetre. Dijagnoza je postavljena na osnovu prisustva bilirubina i žučnih kiselina u sputumu i na osnovu holangiopankreatografije primenom magnetne rezonance (MRCP). Ponovljenim MRCP nakon konzervativnog lečenja nije potvrđeno prisustvo fistulozne komunikacije. Zaključak. Kod manjih i nekomplikovanih fistula između bilijarnog i bronhijalnog trakta, konzervativno lečenje može biti uspešno. Stoga, invazivne metode lečenja nisu neophodne kod svih bolesnika.

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Objavljeno
2015/11/02
Broj časopisa
Vol. 72 Br. 10 (2015)
Rubrika
Prikaz bolesnika