In the present case report is presented a patient with bilio-bronchial fistula secondary to choledocholithiasis surgically treated at the University of Mogi das Cruzes Hospital. It is a 35-year-old female patient which initial clinical features were continuous hypochondrium pain, accompanied by obstructive jaundice and bilioptysis that reached one liter in a period of 24 hours. The diagnosis was confirmed by X-ray exams and by abdominal ultrasonography. The treatment consisted in laparotomy, cholecistectomy, choledochotomy and extraction of two stones from biliary tract, drainage of biliary tree, intraoperative cholangiography and separation of the hepatic capsule from the right diaphragmatic cupula. At the postoperative follow-up was observed a total regression of the bilioptysis and disappearance of the jaundice after the seventh postoperative day. The patient was submitted to bronchography that did not reveal anatomical changes on the right lowers bronchi by biliary flood. The patient is on the seventh postoperative year without any evidence of the disease.
Choledocholithiasis; Bilio-bronchial fistula; Biliptysis
