Bronchobiliary fistula – a rare complication of hepatic endometriosis Endometriose

We report the case of a 39 year old woman with an external endometriosis being evident with hemoptysis before pregnancy and bilioptysis 7 days after the vaginal delivery. In bronchoscopy, biliary sputum in the right basal lobe was seen. Staging was completed by MR-scan showing a bronchobiliary fistula. A one-stage operation for the hepatic and pulmonary lesions was performed through a transdiaphragmatic approach via laparotomy. We report this case to emphasize that the first-line treatment for a bronchobiliary fistula caused by endometriosis is radical surgery, resulting in relief of symptoms with excellent clin…