Wu Xiangming,Chen Yajun,Pang Wenbo,et al.A Case Report of Congenital brochobiliary fistula and Miss Diagnosis[J].Journal of Clinical Pediatric Surgery,,18():429-431.[doi:10.3969/j.issn.1671-6353.2019.05.018]
A Case Report of Congenital brochobiliary fistula and Miss Diagnosis
- Keywords:
- Bronchial Fistula/CN; Bronchial Fistula/CO; Biliary Fistula/CN; Diagnosis Errors; Surgical Procedures; Operative
- CLC:
- R729;R657.4
- Abstract:
- Objective To investigate the clinical diagnosis and treatment of congenital bronchial bile duct fistula and reduce missed diagnosis. Methods A retrospective analysis of the clinical manifestations and findings of a congenital bronchial bile duct in a Beijing Children’s Hospital affiliated to Capital Medical University was conducted to summarize the experience of the diagnosis and treatment of the disease.Results In this case, the abnormal opening of yellow mucus overflow was found by bronchoscopy. However, many hospitals did not perform this examination in the previous stage. The results of chest CT and MRI did not provide a strong diagnosis. From the clinical performance point of view Congenital bronchial bile duct is easily confused with congenital gastrointestinal malformations, severe pneumonia, tracheoesophageal fistula, gastroesophageal reflux and other diseases. Conclusion Congenital bronchial bile duct fistula is very rare in clinical practice. This report can improve the doctor’s understanding of the disease and reduce missed diagnosis.
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Memo
收稿日期:2018-06-18。
基金项目:内蒙古包头市社会发展科技支撑项目（编号：2017S2001-6-5）
通讯作者:陈亚军,Email:chenyajunmd@aliyun.com