AI Article Synopsis

  • The study analyzed 210 cases of external biliary fistula treated from 1970 to 1992, identifying various causes including iatrogenic injuries and surgical complications.
  • A majority of cases (85) occurred after cholecystomy procedures, while the highest number (103) followed surgeries for hydatid disease.
  • Most patients (173) were treated conservatively, with 37 requiring surgical intervention.

Article Abstract

We report 210 cases of external biliary fistula treated in our clinics between 1970-1992. In 7 cases, fistulas were formed after iatrogenic bile duct injury, in 4 cases after exploration of common bile duct, in 4 cases due to disruption of biliary-intestinal anastomosis, and in 2 cases due to liver trauma. In 85 cases bile leak was observed after cholecystomy, in 103 cases after hydatid disease surgery, and in 4 cases after the passage of P.T.C. catheter. In one patient the appearance of the fistula was due to spontaneous discharge of a gallbladder empyema. 173 cases were managed conservatively, and 37 cases surgically.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2423898PMC
http://dx.doi.org/10.1155/1998/42791DOI Listing

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