The American Surgeon™
Recognizing Bronchobiliary Fistula after Hepatic Ablation: A Distinct Clinical Syndrome and Its Multimodal Management
Background Bronchobiliary fistula (BBF) is a rare but significant complication of hepatic ablation, particularly in tumors adjacent to the diaphragm. With increasing use of thermal ablation, a growing literature has emerged characterizing its presentation and management. Methods We present a representative case of recurrent BBF after radiofrequency ablation for hepatocellular carcinoma, successfully managed with a multimodal interventional radiology approach. Following PRISMA guidelines, we conducted a systematic r …