Abstract
INTERNAL biliary fistulas, although not common, are no longer surgical curiosities. Choledochoduodenal fistulas, other than those secondary to cholelithiasis, are, however, extremely rare. Judd and Burden,1in their review of 153 cases of internal biliary fistula at the Mayo Clinic in which surgery had been performed, found only 1 such fistula between the common duct and the duodenum, while they encountered 148 between the gall bladder and the duodenum. They felt that all of these fistulas had been caused by cholelithiasis. Davison and Aries2found only 7 cases of internal biliary fistula in 6,000 autopsies at Cook County Hospital, and in none of these was an antemortem diagnosis made. Bernard,3according to Eliason and Stevens,4found 109 such fistulas in 6,263 patients having surgical intervention upon the biliary system, an incidence of 1.8% in biliary tract surgery. Those authors describe the following types of biliary fistulas:
Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
