The bilioenteric fistulas, first described in 1890 by Courvoisier, are found in 0.15% 8% of biliary tract operations. Combined fistulas involving the gallbladder, duodenum and colon are extremely rare. We presented a case of 38 year female who presented to our OPD with complaints of pain right upper abdomen for seven months in whom a cholecysto-duodenocolic fistula (Figure 1 & Figure 2) was fou...

Primary biliary cirrhosis (PBC) is a chronic progressive autoimmune cholestatic liver disease characterized by highly specific antimitochondrial antibodies (AMAs) and the specific immune-mediated injury of small intrahepatic bile ducts. Unique apoptotic feature of biliary epithelial cells (BECs) may contribute to apotope presentation to the immune system, causing unique tissue damage in PBC. Pe...

203 surgery group. The procedure-related complications (28% and 32%, respectively) and 30 day mortality (8% and 20%) were similar. Although the initial hospital stay was significantly shorter in the stented group (18 vs 24 days), this difference was not maintained when readmissions for obstructed endoprostheses and duodenal obstruction were also considered. Another study by Dowsett et al. inclu...

BACKGROUND Laparoscopic cholecystectomy is the present treatment of choice for patients with gallbladder stones, despite its being associated with a higher incidence of biliary injuries compared with the open procedure. Injuries occurring during the laparoscopic approach seem to be more complex. A complex biliary injury is a disease that is difficult to diagnose and treat. We considered complex...