We were able to intraoperatively identify, with blue ink, high-output biliary fistulas
and then carefully suture them.
It was also observed through radiological methods that there was a significant risk of sepsis development in patients with biliary stenosis (RR: 3.73, 95% CI: 1.44-9.69) and biliary fistula
(RR: 13.90, 95% CI: 1.78-108.43).
External biliary fistula
(Biliocutaneous fistula) can occur due to traumatic or surgical injury to the liver or hepatobiliary tract.
High risk of biliary fistula
after isolated segment VIII liver resection.
are defined as chronic pipe-like ulcers.
Other findings on ultrasonography include a gallbladder mass, subhepatic fluid collection, obscure border between the gallbladder and liver, intramural hypoechoic nodules and rarely gas in the biliary tree in patients with a biliary fistula
VR+ VR- (n = 64) (n = 177) n (%) n (%) Complications Pancreatic fistula 7 (11) 23 (13) Biliary fistula
3 (5) 5 (3) Fluid collections 4 (6) 9 (5) Peritoneal bleeding 3 (5) 9 (5) Digestive bleeding 1 (2) 1 (0.5) Ileal perforation 1 (2) 5(3) Pleural effusion 1 (2) 2 (1) Others 1 (2) 6 (3) Reoperation 4 (6) 9 (5) Morbidity 19 (29%) 53 (30%) Mortality 2 (3%) 7 (4%) PD: pancreatoduodenectomy; TP: total pancreatectomy; DP: distal pancreatectomy.
Cholangiography was used to confirm healing of the biliary fistula
and absence of a biliary stricture or residual stones.
If left untreated, the cysts grow in size and eventually cause complications like-cysto biliary fistula
or communication, rupture into the peritoneal cavity and seeding of daughter cysts, leading to disability and morbidity.
In the fistuloclysis group, patients were further divided into three subgroups according to the EF locations: Group 1, patients with jejunal-ileal fistula (n = 11); Group 2, patients with biliary fistula
(n = 16); Group 3, patients with duodenal fistula (n = 8).
(1-3) We report what is probably the first case in which a biliary fistula
was the first presentation of abdominal TB and AIDS.
A computed tomography (CT) scan supported the latter finding and confirmed the presence of a large calculus in the proximal duodenum, raising the possibility of a biliary fistula