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Spontaneous external biliary fistula arising from an intrahepatic duct.
Mizumura, Naoto; Okumura, Satoshi; Tsuchihashi, Hiroshi; Ogawa, Masao; Kawasaki, Masayasu.
Afiliación
  • Mizumura N; Department of Surgery, Bellland General Hospital, 500-3 Higashiyama, Naka-ku, Sakai, Osaka, 599-8247, Japan. naotomizumura@gmail.com.
  • Okumura S; Department of Surgery, Bellland General Hospital, 500-3 Higashiyama, Naka-ku, Sakai, Osaka, 599-8247, Japan.
  • Tsuchihashi H; Department of Surgery, Bellland General Hospital, 500-3 Higashiyama, Naka-ku, Sakai, Osaka, 599-8247, Japan.
  • Ogawa M; Department of Surgery, Bellland General Hospital, 500-3 Higashiyama, Naka-ku, Sakai, Osaka, 599-8247, Japan.
  • Kawasaki M; Department of Surgery, Bellland General Hospital, 500-3 Higashiyama, Naka-ku, Sakai, Osaka, 599-8247, Japan.
Clin J Gastroenterol ; 11(1): 83-86, 2018 Feb.
Article en En | MEDLINE | ID: mdl-29090424
A spontaneous external biliary fistula is most commonly a cholecystocutaneous fistula secondary to acute cholecystitis. A fistula arising from an intrahepatic duct is extremely rare. An 87-year-old man presented with swelling of the epigastric region and right upper quadrant abdomen. He had a history of cholecystectomy and endoscopic sphincterotomy. After antibiotic treatment and surgical opening of both lesions, abdominal computed tomography demonstrated a soft tissue mass cephalad to the umbilicus. We excised the mass, and found it to be associated with a fistula through the linea alba. Fistulography showed an abscess cavity communicating with the intrahepatic duct in segment III. Histopathological examination of the mass showed an abscess without malignancy. The fistula closed spontaneously without laparotomy. In this case, the underlying pathology was considered to be associated with a subcapsular hepatic cyst in segment III.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Conductos Biliares Intrahepáticos / Fístula Biliar / Fístula Cutánea Tipo de estudio: Etiology_studies Límite: Aged80 / Humans / Male Idioma: En Revista: Clin J Gastroenterol Año: 2018 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Japón
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Conductos Biliares Intrahepáticos / Fístula Biliar / Fístula Cutánea Tipo de estudio: Etiology_studies Límite: Aged80 / Humans / Male Idioma: En Revista: Clin J Gastroenterol Año: 2018 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Japón