ERCP in late post-traumatic biliary fistula.

Post Traumatic Vesicocutaneous Fistula in the Thigh

A 12-year-old boy presented with fever, suprapubic pain, swelling and watery discharge from the repaired wound site at the right upper thigh. He had a history of fall from a tree and sustained penetrating injury to right thigh by a sharp wooden twig two days back. Primary treatment and repair of the wound was done by a local physician. Though he was able to void, he subsequently developed supra...

Early ERCP in Biliary Pancreatitis?

Spontaneous closure of a persistent post-traumatic pancreatic fistula in a child: incidental therapeutic effect of ERCP.

A child with a post-tramatic pancreatic pseuodocyst developed pancreatic fistula, following percutaneous drainage of the cyst. The fistula output was about 120ml/day and lasted for a month. A diagnostic ERCP revealed main pancreatic duct disruption. The fistula output ceased over the next two days following the ERCP. The patient has been well for the past four years. This patient's immediate re...

Biliary Tract Obstruction Due to Fasciola hepatica Managed by ERCP

Fascioliasis is a health problem in several countries including the Islamic Republic of Iran.  In a review of the medical publications during 1990-2002, only 22 cases of biliary tract obstruction by fasciola hepatica have been reported.  Herein, we are adding a new case of fasciola hepatica causing bile duct obstruction and presenting with intermittent colicky pain, eosinophilia and bile duct d...

Cholecystobronchocolic Fistula: A Late Complication of Biliary Sepsis

A case of a 48 year old woman presenting with bilioptysis due to a cholecystobronchocolic fistula is reported. Bilioptysis is a rare complication of biliary fistulae, with a high mortality due to chemical pneumonitis. Bronchospasm and rapid respiratory failure may ensue if aggressive management is not adopted. The site of fistulation is established by cholangiography, preferably by the percutan...