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Ann Thorac Surg 2009;87:318-320. doi:10.1016/j.athoracsur.2008.06.028
© 2009 The Society of Thoracic Surgeons
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Right arrow Trachea and bronchi

Case Reports

Surgical Experience in a Baby With Congenital Broncho-Biliary Fistula

Ayla Günlemeza, Melih Tugayb,*, Levent Elemen, MDb, Gülcan Türkera, Nagihan Inan Gürcanc, Hakan Demird, Yesim Gürbüze, Tulay Hostenf

a Department of Pediatrics, Neonatal Intensive Care Unit, Kocaeli University School of Medicine, Kocaeli, Turkey
b Department of Pediatric Surgery, Kocaeli University School of Medicine, Kocaeli, Turkey
c Department of Radiology, Kocaeli University School of Medicine, Kocaeli, Turkey
d Department of Nuclear Medicine, Kocaeli University School of Medicine, Kocaeli, Turkey
e Department of Pathology, Kocaeli University School of Medicine, Kocaeli, Turkey
f Department of Anesthesiology, Kocaeli University School of Medicine, Kocaeli, Turkey

Accepted for publication June 9, 2008.

* Address correspondence to Dr Tugay, Kocaeli Universitesi Tip Fakultesi Hastanesi, Çocuk Cerrahisi AD. Kat: 2, Umuttepe, Kocaeli, 41380, Turkey (Email: tugaym{at}hotmail.com).

Congenital tracheobiliary and bronchobiliary fistulae are rare malformations in which patent communications exist between the respiratory system and biliary tract, respectively. We present a newborn who was admitted with respiratory distress and bilious tracheal discharge. Investigation revealed a bronchobiliary fistula originating from the left main bronchus, as well as biliary atresia. Excision of the bronchobiliary fistula was successful and the connection between biliary tract and gastrointestinal system was established by performance of a Roux-en-Y cholecysto-jejunostomy. Diagnostic tools, differential diagnosis, and surgical correction strategies are discussed.






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