A case of a 48 year old woman presenting with bilioptysis due to a cholecystobronchocolic fistula isreported. Bilioptysis is a rare complication of biliary fistulae, with a high mortality due to chemicalpneumonitis. Bronchospasm and rapid respiratory failure may ensue if aggressive management is notadopted. The site of fistulation is established by cholangiography, preferably by the percutaneoustranshepatic route. Continued biliary drainage can lead to closure of these fistulae, or allow sufficientimprovement in clinical condition to allow definitive surgery to be performed electively.
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