A 60-year-old woman with a history of right hepatectomy due to metastatic colorectal cancer presented recurrence at the margin of the liver section treated with external radiotherapy, after which she developed obstructive jaundice secondary to actinic damage of the intrahepatic bile duct. The patient required an external biliary drainage catheter; however, after several interventional procedures, recanalization of the bile duct was achieved through a combined endoscopic and percutaneous approach (rendez-vous). Subsequently, the patient developed a biliary fistula that, after several interventional procedures for the placement of several covered biliary stents, progressed towards the development of a bronchobiliary fistula (Fig. 1).
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To the General Surgery and Digestive System and Abdominal Organ Transplant Service of the 12 de Octubre University Hospital.




