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Biliary fistula

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Mohammadhossein Moshkelgosha, M.D.[2]

Overview

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

A biliary fistula, a type of fistula where bile leaks from the bile ducts into outside areas, can occur as a complication following biliary trauma, either iatrogenic or a result of a penetrating injury.

Pain may occur if the leaked bile is also infected, which can subsequently lead to biliary peritonitis. Extensive ascites may accumulate, especially in the setting of sterile bile leakage, which is often asymptomatic in nature.

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Biliary fistula overview from Other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications, and Prognosis

Natural History

Complications

Prognosis

Diagnosis

Diagnostic Criteria

History and Symptoms

Physical Examination

Laboratory Findings

Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Prevention

References

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Historical Perspective

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Mohammadhossein Moshkelgosha, M.D.[2]

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Overview

Historical Perspective

  • Biliary fistula was first mentioned by Thomas Bartholin, a Danish physician, in 1654, and described by Thilesus for the first time in 1670.
  • In 1890, Ludwig Georg Courvoisier, a Swiss surgeon was the first to report 169 cases of external biliary fistulas.[1]

References

  1. Corvera, Carlos U.; Jarnagin, William R.; Blumgart, Leslie H. (2012). “Biliary fistulae”: 644–669.e5. doi:10.1016/B978-1-4377-1454-8.00110-7.

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Classification

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief:

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Overview

Pathophysiology

References

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Pathophysiology

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief:

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Overview

Pathophysiology

References

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Causes

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief:

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Overview

Causes

References

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Differentiating Biliary fistula from other Diseases

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief:

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Overview

Differential Diagnosis

References

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Epidemiology and Demographics

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief:

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Overview

Epidemiology and Demographics

References

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Risk Factors

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief:

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Overview

Risk Factors

References

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Screening

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief:

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Overview

There is insufficient evidence to recommend routine screening for biliary fistula.

Screening

There is insufficient evidence to recommend routine screening for biliary fistula.

References

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Natural History, Complications and Prognosis

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief:

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Overview

Natural History

Complications

Prognosis

References

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Diagnosis

Diagnosis

History and Symptoms | Physical Examination | Laboratory Findings | Electrocardiogram | X Ray | CT | MRI | Echocardiography or Ultrasound | Other Imaging Findings | Other Diagnostic Studies

Treatment

Treatment

Medical Therapy | Surgery | Primary Prevention | Secondary Prevention | Cost-Effectiveness of Therapy | Future or Investigational Therapies

Case Studies

Case Studies

Case #1

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