Unexpected Noninvasive Procedure in the Treatment of Bronchobiliary Fistula (BBF): Case Report

Abstract

In January, 2000 as a general surgeon on call, I was consulted at night to see a patient with clinical features of acute abdomen. The patient was sixteen year old thin female admitted to the medical ward a day before complaining of shortness of breath and right upper abdominal pain. At admission, patient was afebrile, not jaundiced, nor pale, nor cyanosed but anxious with mild dyspnea. Chest examination revealed basal right chest dullness and diminished air entry with mild abdominal distension .PA chest x-ray showed elevated right dome of the diaphragm. She is single, last menstrual period ended few days before admission with normal cycle menarche at age of thirteen.