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Ann Thorac Surg 2004;78:1512-1513
© 2004 The Society of Thoracic Surgeons
Division of Gastroenterology, Sunnybrook and Women's College Health Sciences Centre, Room HG 63, 2075 Bayview Ave, Toronto, ON, Canada M4N 3M5
lawrence.cohen@sw.ca
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To the Editor:
Singh and colleagues [1] described the management of bronchobiliary fistula (BBF) by endoscopic retrograde cholangiography and medical therapy. Their use of octreotide for BBF was not previously documented according to our MEDLINE search. We report 2 cases of patients demonstrating the therapeutic utility of octreotide in BBF management.
A 56-year-old woman was seen with chest pain, fever, and bilioptysis. History included percutaneous liver abscess drainage and thoracotomy for iatrogenic hemothorax 4 years earlier. There was no jaundice or pallor. Crackles were heard at the base of the right
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Ann. Thorac. Surg. 2004 78: 1513.
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