• <tr id="yyy80"></tr>
  • <sup id="yyy80"></sup>
  • <tfoot id="yyy80"><noscript id="yyy80"></noscript></tfoot>
  • 99热精品在线国产_美女午夜性视频免费_国产精品国产高清国产av_av欧美777_自拍偷自拍亚洲精品老妇_亚洲熟女精品中文字幕_www日本黄色视频网_国产精品野战在线观看 ?

    Congenital bronchobiliary fistula:A case report and review of the literature

    2019-04-16 08:21:12TianYuLiZhiBoZhang
    World Journal of Clinical Cases 2019年7期

    Tian-Yu Li,Zhi-Bo Zhang

    Abstract

    Key words: Congenital bronchobiliary fistula;Neonate;Computed tomography;Bronchoscopy;Fistulography;Case report

    INTRODUCTION

    Congenital bronchobiliary fistula (CBBF) is a rare developmental abnormality with an abnormal fistula between the respiratory system (trachea or bronchus) and biliary tract.Patients with this anomaly may develop symptoms at any time from neonate age to adulthood,but most of them present with signs of apnea,bilious saliva,and choking,within just a few days after birth.Generally,the earlier the symptoms appear,the more serious the condition is.CBBF is often accompanied by biliary tract developmental anomalies,such as biliary atresia.Surgical resection of the fistula is the ultimate choice of treatment.Presently,this anomaly is believed to be caused by abnormal development of the foregut[1-3].In this paper,we describe a patient with CBBF who showed the symptom of apnea at 3 d after birth,summarize the clinical data,and review the related papers on CBBF.

    CASE PRESENTATION

    Chief complaints

    Intermittent cyanosis for 3 d.

    History of present illness

    A full-term female baby of 5 d was referred to our hospital because of intermittent cyanosis.She secreted a large amount of yellowish and green saliva and started choking since 3 d of age.Respiratory distress became increasingly severe after admission,so tracheal intubation and a ventilator were applied thereafter.After intubation,yellowish green fluid kept flowing out of the tracheal tube.Gastroesophageal reflux complicated by a tracheoesophageal fistula was considered first,but nasogastric depression produced colorless fluid,which was not in accordance with the aforementioned findings.

    Physical examination upon admission

    Jaundice.

    Laboratory examinations

    Total bilirubin 172.4 μmol/L.

    Imaging examinations

    We performed 3-dimensional (3D) computed tomography (CT) of the baby’s chest.Her trachea and esophagus were reconstructed,and an abnormal fistula originated from the right bronchus;the fistula formed down along the esophagus and passed through the diaphragm into the intrahepatic biliary tract at the site of the esophageal hiatus.Gas was noticed in the intrahepatic biliary tract and common hepatic duct.Furthermore,pneumonia was evident in both lungs,especially in the lower lobes(Figure 1A-C).CBBF was diagnosed accordingly.

    During the ultrasonographic examination,we discovered an abnormal fistula similar to that detected by CT.Ultrasonography also detected an accumulation of gas in both intrahepatic bile ducts,the common hepatic duct,and gallbladder,and gas bubbles in the biliary system moved with the patient’s breathing.No signs of biliary atresia were noticed during the ultrasonographic examination.

    Flexible fiberoptic bronchoscopy showed an abnormal opening at the right main bronchus;contrast was injectedviathe opening,and beside radiography was performed,which showed the outlines of the fistula,biliary tract,gallbladder,and duodenum (Figure 2).

    Figure 1 Computed tomography images.

    FINAL DIAGNOSIS

    Congenital bronchobiliary fistula.

    TREATMENT

    We initially performed laparoscopic biliary tract exploration and cholangiography to rule out biliary tract malformations.We found that the gallbladder was filled with green viscous bile,and the distal bile duct was patent.The abnormal fistula that bridged the intrahepatic bile duct and right bronchus was visible (Figure 3).Then,we performed posterolateral right thoracotomy at the sixth intercostal space.Green bile salt was deposited extensively beneath the visceral pleura.We dissected the mediastinal pleura and detected the fistula alongside the esophagus.The fistula formed down from the right bronchus to the right side of the hiatus,and it was about 4 mm in diameter and as soft as the esophagus.We punctured the lumen but produced nothing;then 10 mL of methylene blue was injected into the gallbladder,and the blue material was noticed subsequently at the puncture site and intratracheal tube (Figure 4).The fistula was confirmed accordingly.We separated the fistula and dissected it from the bronchus to the hiatus;both ends were securely ligated and sutured.Lastly,a thoracic drainage tube was placed.

    OUTCOME AND FOLLOW-UP

    On the day 3 postoperatively,the child was successfully weaned from the ventilator.She was in good condition with satisfactory pulmonary expansion and feeding tolerance.We attempted to remove the thoracic drainage tube but failed;subsequently,the baby developed pneumothorax and subcutaneous emphysema,which were considered due to improper operation,so the tube was reinserted.On day 7 postoperatively,the child developed cholestasis with a total bilirubin level of 71.6 μmol/L and conjugated bilirubin level of 58.1 μmol/L.Ultrasonography showed mild obstruction of the extrahepatic bile duct and slight dilation of the common bile duct.Two possibilities were considered:first,the extrahepatic bile duct was not patent enough to drain all the bile produced by the liver sufficiently;and second,inflammation and edema caused by the operation resulted in partial obstruction of the bile duct.Methylprednisolone was administered,and her bilirubin level decreased to normal range 3 d later.On day 10 postoperatively,growing chylous fluid was noticed in the drainage,so the oral feeding was withdrawn accordingly.Ten days later,the drainage gradually decreased,oral feeding was resumed without adverse reactions,and the drainage tube was removed.The baby recovered well and was discharged.She has been followed for 4 mo without any signs of discomfort.

    A microscopic examination was performed separately for three parts of the removed fistula.Scattered mature and naive hyaline cartilage surrounded by clustered bronchial glands could be seen at the part near to the bronchus.Hyperplasia,angulation,aggregation,and columniation of the biliary glandular epithelial cells were found at the biliary end.The middle part was characterized by scattered,clustered glands,columniation of the glandular epithelia,squamous metaplasia,and cartilaginous tissue around the bronchial glands (Figure 5A-C).

    Figure 2 Contrast study via a fiberoptic bronchoscope.

    DISCUSSION

    CBBF can manifest as a series of symptoms caused by an abnormal connection between the hepatic duct and trachea or bronchus.The onset time and severity of symptoms are related to the diameter of the fistula;therefore,the symptoms can appear at any age from newborn to adulthood.However,most of them occur in newborns and infants.The main clinical features of CBBF are recurrent coughing,bilious sputum,or bile-stained sputum in tracheal intubation.Patients generally develop progressive dyspnea,cyanosis,severe pneumonia,respiratory distress syndrome,and even apnea;shortly after birth,mechanical ventilation is often needed.Bile-stained expectoration is the most typical sign among the aforementioned symptoms.It has been often misdiagnosed as an esophagotracheal fistula,gastroesophageal reflux,aspiration pneumonia,or high intestinal obstruction[4,5].

    The first findings on CBBF were reported in 1952 by Neuhauseret al[6].Altogether,there were 43 additional cases reported in English and 1 in Chinese thereafter (Table 1),and CBBF was more common in women than in men.An abnormal fistula can be opened at different positions around the carina:right main bronchus (20/44,45.4%),carina (19/44,43.2%),and left main bronchus (5/44,11.4%).Fistulas generally passed through the esophageal hiatus and entered into the abdominal cavity;all fistulas communicated with the intrahepatic bile duct (left hepatic duct),except one fistula that opened at the common bile duct[7].

    The pathogenesis of this disease is not clear yet.Abnormal development of the bronchial bud,which fuses with the bile duct,was regarded as the cause of the anomaly.Other reports postulated that CBBF was the result of digestive tract duplication and the upper respiratory tract[1,6,8-10].

    As in most reports,the proximal part of the fistula had the characteristics of the respiratory tract,consisting of cartilage,pulmonary epithelia,glands,and smooth muscle,whereas the distal part was similar to the gastrointestinal tract.In our case,by examining the proximal,middle,and distal parts of the fistula,we found scattered mature hyaline cartilage,relatively naive cartilage,and clusters of bronchial glands at the bronchus end;whereas,glandular epithelia of the bile duct and interstitial cholestasis were found at the distal part of the fistula.In the middle part,the lumen was partly covered by pseudo-ciliated columnar epithelia.Cartilage rings lay beneath the mucosa.Co-existing single-layer columnar epithelium could also be seen in the same field.These histological findings could further verify the pathogenesis of CBBF.

    CBBF was often complicated by biliary atresia,diaphragmatic hernia,esophagus atresia,and tracheoesophageal fistula,and the incidence of biliary malformation in this group was about 30%[11-15].As long as this possibility was considered,the diagnosis of CBBF was not difficult.Magnetic resonance imaging,3D-CT reconstruction,bronchoscopy,and ultrasonography can provide valuable clues.Bronchoscopy was the most common method for making a diagnosis,as it can b used to find the abnormal opening of the fistula and the overflowing bile via th opening[13,14,16-19].3D-CT reconstruction can accurately detect the existence of the fistula which is of great significance for diagnosing CBBF.In the present case,the CT scan provided us with the first evidence of the abnormal fistula.Then fiberopti bronchoscopy was performed,and a contrast dye was injected into the fistula once th opening was confirmed.Next,a radiographic examination was conducted;thus,th opening,shape,and connection of the fistula were all confirmed.The result of ou treatment was excellent,and to our knowledge,this method has not been reported previously.ee,ceer

    Figure 3 lntraoperative cholangiogram showing the connection between the biliary tract and right bronchus and patent distal bile duct;the white arrow indicates the biliary tract.

    Surgical resection was the ultimate treatment of choice,but a specific method must be considered according to different anatomical structures[20-22].According to previous reports,different kinds of operative methods have been used,such as hepatic lobectomy,anastomosis of the gallbladder or intestine with abnormal fistulas,and fistula resection.We think that it is necessary to consider whether there is a biliary tract anomaly when preparing an operative plan.If a biliary anomaly exists,biliary reconstruction must be considered[4,14].We performed laparoscopic cholangiography first during the operation to exclude biliary atresia,and achieved a satisfactory result.We performed thoracotomy subsequently,and explored and identified the fistula in the mediastinum;the fistula formed down the right side of the esophagus.We punctured the lumen for assurance because there are many important structures nearby,and then we injected methylene blue into the gallbladder;the dye was seen flowing out of the puncture site,thus the fistula was confirmed.Because the extrahepatic biliary tract was normal,reconstruction was unnecessarily considered.Instead,we just separated the fistula and ligated and sutured it at the upper end and at the hiatus,and then the fistula was removed.

    The overall mortality of CBBF was 15.91% (7/44) according to the literature,and three patients died of respiratory complications without surgery.Our patient experienced chylothorax shortly after thoracotomy,which may be due to injury of the thoracic duct when we dissected the fistula at the hiatus.Fortunately,she recovered after short-term conservative management.Cholestasis was another main complication encountered postoperatively,and ultrasonography showed slight dilatation of the bile duct.We evaluated her conditions and prescribed methylprednisolone.Cholestasis resolved after three doses;therefore,we deduced that the jaundice may have been due to temporary inflammation of the biliary tract.

    CONCLUSION

    Most surgeons may not encounter CBBF in their professional career considering its rarity.Its clinical symptoms are typical and special such as bile-stained expectoration.As long as surgeons have some insight into this kind of condition,its diagnosis and treatment are not difficult,and the prognosis would be excellent for most patients.

    Table 1 All cases of congenital bronchobiliary fistula reported to date

    18 2004 Hourigan et al[33]14605784 Right main bronchus 13 d M MR imaging Right thoracotomy+ Kasia procedure Biliary dysplasia Survived 19 2002 DiFiore et al[15]12149705 Right main bronchus< 28 d M Intuition intraoperati vely Surgical removal +right diaphragma tic hernia repair Right diaphragma tic hernia Survived 20 2000 Duong et al[17]10741248 Tracheal carina 3 yr F Bronchus examination Surgical excision and ligation None Survived 21 2000 Tommasoni et al[14]10922138 Tracheal carina 1 yr 9 mo F Bronchus examination Nissen procedure +surgical excision and ligation Gastroesoph ageal reflux Followed for 6 yr,normal 22 2000 Tommasoni et al[14]10922138 Tracheal carina 2 yr 6 mo M Bronchus examination and angiography Surgical excision and ligation Funnel chest Followed for 4 yr,normal 23 1998 Fischer et al[34]9854540 left main Bronchus 16 d F Bronchus examination Surgical excision and ligation None Survived 24 1996 Egrari et al[35]8783103 Tracheal carina 3 d F Bronchus examination Surgical excision and ligation None Survived 25 1996 Nishimura et al[39]8741536 Right main bronchus 57 yr F CT Surgical excision and ligation None Died 26 1994 Ferkol et al[19]8194299 Left main bronchus 23 d M Bronchus examination Surgical excision and ligation Biliary dysplasia Died 27 1995 Tekant et al[5]8035264 Tracheal carina 15 d F Bronchus examination Surgical excision and ligation Biliary dysplasia Survived 28 1993 Gauderer et al[4]8468661 Tracheal carina 2 yr M Bronchus examination Surgical excision and ligation Biliary dysplasia Survived 29 1990 Yamaguchi et al[40]2371608 Right main bronchus 32 yr M Bronchus examination Surgical excision and ligation None Survived 30 1989 Mavunda et al[41]Left main bronchus 1 yr F CT Surgical excision and ligation None Survived 31 1988 de Carvalho et al[42]3206388 Right main bronchus 32 yr F CT Surgical excision and ligation None Followed for 1 yr,normal 32 1987 Levasseur et al[1]3632120 Tracheal carina 22 yr F Bronchus examination Surgical excision and ligation None Survived 33 1986 Lindahl et al[18]3746610 Right main bronchus 15 d F Bronchus examination Surgical excision and ligation None Survived 34 1985 Chang et al[9] 4001424 Right main bronchus 12 h M Bronchus examination Surgical excision and ligation None Survived 35 1984 Chan et al[12] 6697133 Right main bronchus 4 d F Not mentioned Surgical excision and ligation Biliary dysplasia Died 36 1976 Kalayo?lu et al[11]957073 Right main bronchus 4 d F Not mentioned Surgical excision and ligation None Died 37 1974 Cuadros et al[43]Tracheal carina 6 yr M Bronchus examination Surgical excision and ligation None Survived 38 1971 Sane et al[8] 5573334 Right main bronchus 4 wk F Bronchus examination Surgical excision and ligation None Survived

    CBBF:Congenital bronchobiliary fistula;CT:Computed tomography;MR:Magnetic resonance;F:Female;M:Male.

    Figure 4 Methylene blue was injected into the gallbladder,and it flowed out from the puncture site;the white arrow indicates the puncture site.

    Figure 5 A microscopic examination performed separately for three parts of the removed fistula.

    岛国毛片在线播放| 午夜福利在线观看免费完整高清在| 精品人妻熟女毛片av久久网站| 久久久久国产精品人妻一区二区| 国产黄片视频在线免费观看| 哪个播放器可以免费观看大片| 哪个播放器可以免费观看大片| 少妇被粗大猛烈的视频| 搡女人真爽免费视频火全软件| 亚州av有码| 国产欧美日韩综合在线一区二区 | 高清视频免费观看一区二区| 一级爰片在线观看| 国产精品人妻久久久久久| 国产成人freesex在线| 黄色配什么色好看| 欧美三级亚洲精品| 日产精品乱码卡一卡2卡三| 国内揄拍国产精品人妻在线| 中国三级夫妇交换| 欧美性感艳星| 大片免费播放器 马上看| 亚洲国产最新在线播放| 国产 精品1| 亚洲人与动物交配视频| 中文字幕亚洲精品专区| 秋霞伦理黄片| 黄色日韩在线| 亚洲精品久久久久久婷婷小说| 精品久久久久久电影网| 久久久精品94久久精品| 99热网站在线观看| 3wmmmm亚洲av在线观看| 欧美日韩视频精品一区| 精品久久久久久电影网| av天堂久久9| 高清不卡的av网站| 亚洲国产色片| 亚洲欧美中文字幕日韩二区| 免费看日本二区| 国产欧美日韩一区二区三区在线 | av国产久精品久网站免费入址| 国产黄片视频在线免费观看| 五月天丁香电影| 国产视频内射| 国产高清三级在线| 精品人妻熟女毛片av久久网站| 久久久久久久亚洲中文字幕| 久久久精品免费免费高清| 精品视频人人做人人爽| 亚洲av二区三区四区| 日韩欧美 国产精品| 国产午夜精品久久久久久一区二区三区| 永久免费av网站大全| 久久久亚洲精品成人影院| 精品久久久久久久久亚洲| 国产精品秋霞免费鲁丝片| 在线观看三级黄色| 久久久久久久精品精品| 久久国内精品自在自线图片| 亚洲av免费高清在线观看| 久久人人爽人人片av| 午夜精品国产一区二区电影| 久久这里有精品视频免费| 高清毛片免费看| 少妇精品久久久久久久| 赤兔流量卡办理| 日韩免费高清中文字幕av| 春色校园在线视频观看| 国产精品伦人一区二区| 一级毛片aaaaaa免费看小| 精品一品国产午夜福利视频| 日韩熟女老妇一区二区性免费视频| 三级国产精品欧美在线观看| 亚洲精品自拍成人| 亚洲一级一片aⅴ在线观看| 搡老乐熟女国产| 99久久综合免费| 亚洲四区av| 啦啦啦视频在线资源免费观看| 六月丁香七月| 99热这里只有是精品在线观看| av线在线观看网站| 一级爰片在线观看| 性高湖久久久久久久久免费观看| 日韩熟女老妇一区二区性免费视频| 久久久久久伊人网av| 国产女主播在线喷水免费视频网站| 美女主播在线视频| 嫩草影院入口| 欧美成人午夜免费资源| 伦理电影大哥的女人| 最黄视频免费看| 少妇猛男粗大的猛烈进出视频| 三上悠亚av全集在线观看 | 精品久久国产蜜桃| 亚洲欧美中文字幕日韩二区| 国产午夜精品一二区理论片| 久久免费观看电影| 啦啦啦中文免费视频观看日本| 久久精品久久久久久久性| 亚洲精品一二三| 亚洲精品乱码久久久久久按摩| 国国产精品蜜臀av免费| 男人狂女人下面高潮的视频| 五月开心婷婷网| 国产伦精品一区二区三区视频9| 少妇猛男粗大的猛烈进出视频| 黑人巨大精品欧美一区二区蜜桃 | 亚洲精华国产精华液的使用体验| 边亲边吃奶的免费视频| 国产亚洲午夜精品一区二区久久| 乱系列少妇在线播放| 久久这里有精品视频免费| 日韩av不卡免费在线播放| 男女国产视频网站| 亚洲欧美日韩另类电影网站| 日日摸夜夜添夜夜添av毛片| 国产一区二区三区av在线| 色视频在线一区二区三区| 久久精品国产亚洲网站| 国产在线免费精品| 久久久久精品久久久久真实原创| 最后的刺客免费高清国语| 国产日韩欧美在线精品| 最新的欧美精品一区二区| av一本久久久久| 秋霞在线观看毛片| 亚洲欧美日韩东京热| 人人妻人人澡人人看| 99九九线精品视频在线观看视频| 韩国高清视频一区二区三区| 成人免费观看视频高清| 国产欧美另类精品又又久久亚洲欧美| 狂野欧美激情性bbbbbb| 国产欧美亚洲国产| 国产成人91sexporn| 国语对白做爰xxxⅹ性视频网站| 乱码一卡2卡4卡精品| 天堂中文最新版在线下载| 精品久久久久久久久av| 欧美3d第一页| 色94色欧美一区二区| 日本wwww免费看| 国产亚洲精品久久久com| 成人综合一区亚洲| 亚洲熟女精品中文字幕| 美女cb高潮喷水在线观看| 欧美一级a爱片免费观看看| 欧美最新免费一区二区三区| 精品国产乱码久久久久久小说| 校园人妻丝袜中文字幕| av线在线观看网站| 日本黄大片高清| 高清av免费在线| 免费黄色在线免费观看| 黄色一级大片看看| 国产成人免费观看mmmm| 乱系列少妇在线播放| 日韩在线高清观看一区二区三区| 日本色播在线视频| 热99国产精品久久久久久7| 日韩视频在线欧美| 久久久午夜欧美精品| 观看美女的网站| 极品教师在线视频| av.在线天堂| 亚洲内射少妇av| 久久精品夜色国产| 岛国毛片在线播放| 777米奇影视久久| 国产 精品1| 欧美老熟妇乱子伦牲交| 少妇人妻 视频| 国产精品嫩草影院av在线观看| 成人午夜精彩视频在线观看| 午夜av观看不卡| 一级毛片久久久久久久久女| av线在线观看网站| 蜜臀久久99精品久久宅男| 黄色毛片三级朝国网站 | 免费久久久久久久精品成人欧美视频 | 丝袜脚勾引网站| 高清视频免费观看一区二区| 亚洲欧美成人综合另类久久久| 国精品久久久久久国模美| tube8黄色片| 成人毛片60女人毛片免费| 日韩强制内射视频| 精品亚洲成a人片在线观看| 天天操日日干夜夜撸| 九九久久精品国产亚洲av麻豆| 亚洲成人手机| 精品一区二区三卡| 亚洲精品日韩av片在线观看| 性色avwww在线观看| 日韩电影二区| 久久99蜜桃精品久久| 久久97久久精品| 久久精品国产亚洲av天美| 国产av码专区亚洲av| 国产男女内射视频| 香蕉精品网在线| 国产黄片美女视频| 男女边吃奶边做爰视频| 亚洲精品一区蜜桃| 免费高清在线观看视频在线观看| 日本av手机在线免费观看| 亚洲图色成人| a级毛片在线看网站| 久久精品久久精品一区二区三区| 久久久a久久爽久久v久久| 国产永久视频网站| 一区二区三区免费毛片| 18+在线观看网站| 久久精品国产自在天天线| 午夜91福利影院| 免费人成在线观看视频色| 亚洲真实伦在线观看| 一区二区三区四区激情视频| 久久精品国产亚洲av天美| 永久网站在线| 丰满乱子伦码专区| 久久精品国产鲁丝片午夜精品| 天天躁夜夜躁狠狠久久av| 91精品国产国语对白视频| tube8黄色片| 亚洲精品日韩av片在线观看| 成人无遮挡网站| 欧美日韩亚洲高清精品| 99国产精品免费福利视频| 黄色视频在线播放观看不卡| 热re99久久精品国产66热6| 成人午夜精彩视频在线观看| 纵有疾风起免费观看全集完整版| 亚州av有码| 99久久精品国产国产毛片| 国产淫语在线视频| 午夜福利网站1000一区二区三区| 日韩三级伦理在线观看| 国产成人aa在线观看| 亚洲精品一二三| 国产免费福利视频在线观看| 国产欧美另类精品又又久久亚洲欧美| 久久6这里有精品| 三级国产精品片| 另类亚洲欧美激情| 久久久亚洲精品成人影院| 一边亲一边摸免费视频| 国模一区二区三区四区视频| a 毛片基地| 久热这里只有精品99| 中文天堂在线官网| 九色成人免费人妻av| av女优亚洲男人天堂| av专区在线播放| 亚洲精品乱码久久久久久按摩| 亚洲精品国产成人久久av| 狂野欧美白嫩少妇大欣赏| 精品一品国产午夜福利视频| 美女大奶头黄色视频| 久久ye,这里只有精品| 欧美xxxx性猛交bbbb| 免费人成在线观看视频色| 永久网站在线| 久久人人爽人人爽人人片va| 一本大道久久a久久精品| 国产乱人偷精品视频| 亚洲人成网站在线观看播放| 国产亚洲一区二区精品| 男人添女人高潮全过程视频| 亚洲一区二区三区欧美精品| 这个男人来自地球电影免费观看 | 久久国产精品男人的天堂亚洲 | 乱系列少妇在线播放| 久久久久久久亚洲中文字幕| 亚洲真实伦在线观看| 丰满少妇做爰视频| www.av在线官网国产| 一级片'在线观看视频| 国产精品伦人一区二区| 亚洲精品视频女| 日韩欧美精品免费久久| 免费大片黄手机在线观看| 在线观看三级黄色| 日日啪夜夜爽| 一区在线观看完整版| 在现免费观看毛片| 少妇高潮的动态图| 在线观看国产h片| 乱码一卡2卡4卡精品| 欧美精品一区二区免费开放| 久久久久精品性色| 99视频精品全部免费 在线| 亚洲精品国产成人久久av| 熟妇人妻不卡中文字幕| 久久久午夜欧美精品| 国产免费视频播放在线视频| 久热这里只有精品99| 亚洲综合色惰| 国产免费视频播放在线视频| 日日啪夜夜爽| 国产成人精品一,二区| 亚洲国产成人一精品久久久| a级一级毛片免费在线观看| 亚洲真实伦在线观看| 男男h啪啪无遮挡| 久久久国产欧美日韩av| 日韩av不卡免费在线播放| 成人特级av手机在线观看| 韩国av在线不卡| 欧美激情国产日韩精品一区| 女人精品久久久久毛片| 少妇 在线观看| av天堂中文字幕网| 人人澡人人妻人| 中文在线观看免费www的网站| 日韩欧美 国产精品| 免费大片18禁| 国产成人精品一,二区| 亚洲av国产av综合av卡| 亚洲精品国产色婷婷电影| 国产精品久久久久久精品古装| 国产一区二区三区综合在线观看 | 国产精品久久久久久精品电影小说| 午夜视频国产福利| 亚洲精品,欧美精品| 久久久久久久精品精品| 国产91av在线免费观看| 老司机影院毛片| 国产成人精品婷婷| 最近2019中文字幕mv第一页| 国产在线男女| 国产极品天堂在线| 观看美女的网站| 国产日韩欧美亚洲二区| 肉色欧美久久久久久久蜜桃| 少妇的逼好多水| 99热6这里只有精品| 18+在线观看网站| 国产一区二区在线观看日韩| 最近手机中文字幕大全| 国产欧美日韩精品一区二区| 亚洲av.av天堂| 亚洲精品中文字幕在线视频 | 少妇裸体淫交视频免费看高清| 又爽又黄a免费视频| 国产亚洲5aaaaa淫片| 国产精品久久久久成人av| 中国美白少妇内射xxxbb| 久久精品久久久久久噜噜老黄| 久久精品夜色国产| 日韩一本色道免费dvd| 亚洲成人手机| 日本黄色日本黄色录像| 免费大片18禁| 亚洲性久久影院| 2018国产大陆天天弄谢| 91成人精品电影| 91aial.com中文字幕在线观看| 欧美日韩av久久| 亚洲成人av在线免费| 久久久久久久精品精品| 内射极品少妇av片p| √禁漫天堂资源中文www| 久久久久久久亚洲中文字幕| 蜜臀久久99精品久久宅男| 热re99久久国产66热| 日韩成人伦理影院| av一本久久久久| 国产在线一区二区三区精| 国产黄频视频在线观看| 久久99热6这里只有精品| 久久久亚洲精品成人影院| 亚洲欧美清纯卡通| 精品少妇黑人巨大在线播放| 亚洲欧洲日产国产| 美女中出高潮动态图| 一本色道久久久久久精品综合| 国产爽快片一区二区三区| 午夜福利在线观看免费完整高清在| 六月丁香七月| www.av在线官网国产| 综合色丁香网| 麻豆成人av视频| 久久久久人妻精品一区果冻| 亚洲精品一二三| 搡老乐熟女国产| 少妇的逼水好多| 亚洲精品色激情综合| 国产欧美日韩一区二区三区在线 | 国产综合精华液| 99久久精品一区二区三区| 久久久国产一区二区| 在线观看一区二区三区激情| 国产精品国产三级国产av玫瑰| 成年av动漫网址| 少妇人妻一区二区三区视频| 国产乱来视频区| 久久久久久久久久久久大奶| 国产片特级美女逼逼视频| 国产精品久久久久久久电影| 高清欧美精品videossex| 人妻夜夜爽99麻豆av| 在现免费观看毛片| 男的添女的下面高潮视频| 老司机影院成人| 成年人免费黄色播放视频 | 99九九在线精品视频 | 最后的刺客免费高清国语| 国产91av在线免费观看| 日本黄大片高清| 久久青草综合色| 亚洲精品一区蜜桃| 街头女战士在线观看网站| 国产免费一区二区三区四区乱码| 一个人免费看片子| 久久热精品热| 国产高清有码在线观看视频| 伊人久久国产一区二区| 哪个播放器可以免费观看大片| 麻豆成人午夜福利视频| 久久av网站| 少妇人妻久久综合中文| 欧美日韩国产mv在线观看视频| 在线观看免费视频网站a站| 一级毛片 在线播放| 免费在线观看成人毛片| 亚洲电影在线观看av| 日本爱情动作片www.在线观看| 日韩视频在线欧美| 亚洲欧美成人综合另类久久久| 麻豆乱淫一区二区| 波野结衣二区三区在线| 亚洲精品国产色婷婷电影| 国产在线一区二区三区精| 欧美亚洲 丝袜 人妻 在线| 久久人人爽av亚洲精品天堂| 亚洲成人手机| 丝袜在线中文字幕| 欧美最新免费一区二区三区| 美女国产视频在线观看| 老熟女久久久| 69精品国产乱码久久久| 狠狠精品人妻久久久久久综合| 欧美亚洲 丝袜 人妻 在线| 亚洲av免费高清在线观看| 久久女婷五月综合色啪小说| 美女xxoo啪啪120秒动态图| 欧美人与善性xxx| 如日韩欧美国产精品一区二区三区 | 91成人精品电影| 亚洲天堂av无毛| 国产成人aa在线观看| 这个男人来自地球电影免费观看 | 婷婷色av中文字幕| 国产欧美日韩精品一区二区| 国产男女内射视频| 国产精品不卡视频一区二区| 有码 亚洲区| 国产av一区二区精品久久| 美女国产视频在线观看| 久久婷婷青草| 日韩不卡一区二区三区视频在线| 亚洲av成人精品一区久久| 男女边摸边吃奶| 亚洲精品成人av观看孕妇| 日本黄色日本黄色录像| 一级毛片我不卡| 全区人妻精品视频| 一区二区三区乱码不卡18| 国产成人精品久久久久久| 插阴视频在线观看视频| 又黄又爽又刺激的免费视频.| 人妻夜夜爽99麻豆av| 成人无遮挡网站| 日本黄大片高清| 高清欧美精品videossex| 久久热精品热| 99久久综合免费| 大香蕉久久网| 99九九线精品视频在线观看视频| 99国产精品免费福利视频| 国产精品三级大全| 少妇被粗大的猛进出69影院 | a级毛片免费高清观看在线播放| 嘟嘟电影网在线观看| 天天操日日干夜夜撸| 婷婷色av中文字幕| 一区二区三区精品91| 狠狠精品人妻久久久久久综合| 亚洲欧美精品自产自拍| 日韩亚洲欧美综合| 国产白丝娇喘喷水9色精品| 亚洲va在线va天堂va国产| 日韩成人伦理影院| 久久午夜综合久久蜜桃| 欧美激情国产日韩精品一区| 青春草亚洲视频在线观看| 一个人看视频在线观看www免费| 一级片'在线观看视频| 亚洲,欧美,日韩| 18禁在线播放成人免费| 在线天堂最新版资源| 男人和女人高潮做爰伦理| 国产精品一区二区性色av| 韩国av在线不卡| 这个男人来自地球电影免费观看 | 精品一区二区三区视频在线| 亚洲美女黄色视频免费看| 男人爽女人下面视频在线观看| 一区二区三区精品91| 午夜激情福利司机影院| 如日韩欧美国产精品一区二区三区 | 国产成人精品婷婷| 国产精品麻豆人妻色哟哟久久| 97在线视频观看| 国产伦精品一区二区三区四那| 最近最新中文字幕免费大全7| 精品一区二区三卡| 九色成人免费人妻av| 成年人免费黄色播放视频 | 国产在视频线精品| 蜜臀久久99精品久久宅男| 国产精品国产三级国产专区5o| av福利片在线| 纯流量卡能插随身wifi吗| 色婷婷av一区二区三区视频| 精品99又大又爽又粗少妇毛片| 在线天堂最新版资源| 成年人午夜在线观看视频| 高清午夜精品一区二区三区| 简卡轻食公司| 欧美精品一区二区大全| 欧美日韩亚洲高清精品| 国产精品无大码| 亚洲av不卡在线观看| 国产精品成人在线| av卡一久久| 国产黄片美女视频| 搡老乐熟女国产| 看十八女毛片水多多多| 青春草亚洲视频在线观看| videos熟女内射| av又黄又爽大尺度在线免费看| 又黄又爽又刺激的免费视频.| 成人漫画全彩无遮挡| 午夜影院在线不卡| 哪个播放器可以免费观看大片| 99热这里只有是精品50| 亚州av有码| 日韩成人伦理影院| 丰满迷人的少妇在线观看| 久久久国产精品麻豆| 黄色毛片三级朝国网站 | 国产日韩一区二区三区精品不卡 | 国产视频内射| www.色视频.com| 欧美日韩亚洲高清精品| 亚洲精品乱久久久久久| 一个人免费看片子| 亚洲国产精品一区三区| 国产伦精品一区二区三区四那| 久久国产亚洲av麻豆专区| 久久精品国产亚洲av涩爱| 一本一本综合久久| 国产永久视频网站| av黄色大香蕉| 日韩制服骚丝袜av| 两个人免费观看高清视频 | 男人和女人高潮做爰伦理| 亚洲欧美一区二区三区黑人 | 久久久久网色| 在线天堂最新版资源| 热re99久久精品国产66热6| 亚洲av中文av极速乱| 老熟女久久久| 99热网站在线观看| 精品一区二区三卡| 午夜激情久久久久久久| 亚洲经典国产精华液单| 毛片一级片免费看久久久久| 亚洲精品乱码久久久久久按摩| 日韩免费高清中文字幕av| 欧美区成人在线视频| 春色校园在线视频观看| 日韩一本色道免费dvd| 久久精品国产a三级三级三级| 午夜av观看不卡| av国产久精品久网站免费入址| freevideosex欧美| 国产视频内射| 高清av免费在线| 亚洲av二区三区四区| 大香蕉97超碰在线| 国产精品无大码| 美女视频免费永久观看网站| av又黄又爽大尺度在线免费看| 午夜免费观看性视频| 久久6这里有精品| 欧美区成人在线视频| 如何舔出高潮| 亚洲国产av新网站| 欧美人与善性xxx| 少妇裸体淫交视频免费看高清| 看免费成人av毛片| 欧美xxxx性猛交bbbb| 如日韩欧美国产精品一区二区三区 | 狂野欧美激情性xxxx在线观看| 久久久国产欧美日韩av| 精品少妇久久久久久888优播| 人妻制服诱惑在线中文字幕| 国产黄色视频一区二区在线观看| 这个男人来自地球电影免费观看 | 国产乱来视频区|