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HPB Surgery
Volume 10, Issue 6, Pages 375-377
http://dx.doi.org/10.1155/1998/42791

External Biliary Fistula

14th Surgical Clinic, School of Medicine, Aristotelian University of Thessaloniki Thessaloniki, Greece
21st Surgical Propedeutic Clinic, School of Medicine, Aristotelian University of Thessaloniki Thessaloniki, Greece

Received 7 July 1996; Accepted 28 January 1997

Copyright © 1998 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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.