We have reported here a case of thoraco diaphragmatico biliary fistula in a 24 years old male who was managed conservatively with antibiotics and tube thoracostomy and had complete radiological clearance. Thoracobiliary fistulas (TBF) (bronchobiliary and p thoraco-abdominal trauma. Owing to their rarity, there is little consensus on the optimal management. The diagnostic suspicion however must ...

This study reports our experience with 84 patients with iatrogenic bile duct injury who underwent biliary reconstruction in our hospital in last 5 yrs. Magnetic Resonance Cholangio-pancreaticography was the optimal pre operative diagnostic procedure to define the stricture. Most patients underwent hepaticojejunostomy with or without stent. Morbidity and mortality rates were 25.33% and 6.14% res...

In this report, we present the application of hepatobiliary scintigraphy using Tc-99m mebrofenin in the diagnosis of bronchobiliary fistula caused by a liver hydatid cyst, which penetrated the diaphragm. Hepatobiliary scintigraphy noticeably depicted the leakage of the tracer from the biliary system of the liver to the bronchial tree. Hepatobiliary scintigraphy stands as a robust modality in th...

Pyogenic liver abscess commonly occurs as a complication of biliary tract and gastrointestinal infections, with diverticulitis and perforated bowel becoming leading causes in recent years. We report the first case of liver abscess as a complication of asymptomatic diverticulitis with no bacteremia, as well as colovesical fistula. And, with this case presentation, we stress the importance of con...

1. The facts described in this paper are intended to bear upon the pathogenesis of colitis in man and animals. 2. The toxin of the Shiga dysentery bacillus is liberated from the bacillus through the process of autolysis. 3. In rabbits the toxin is not absorbed directly in an active form by the gastro-intestinal tract; in man, however, absorption of an active poison does take place from the inte...

Abdominal wall abscess secondary to spontaneous cholecystocutaneous gallstone fistulation is an uncommon presentation of a rare pathological process. Having been described relatively frequently in the 19th century, it is now much less common in the late 20th and early 21st century, probably due to earlier recognition of symptoms, better imaging and surgical treatment of biliary tract disease. H...

The case of a 77-year-old woman with symptoms of gastric outlet obstruction is presented. Transabdominal ultrasonography findings were suspicious of Bouveret's syndrome. Upper endoscopy confirmed this diagnosis. Bouveret's syndrome is a rare complication of gallstone disease caused by a bilioenteric fistula leading to gastric outlet obstruction by a gallstone and should be suspected in any pati...

BACKGROUND AND AIM biliary self-expanding metal stents (SEMS) have the advantage of being inserted undeployed with very small sizes and provide, when fully opened, large diameters for biliary drainage. However, their use in benign conditions has been very limited, mainly because of difficulty in their extraction. We present our initial experience with a fully covered SEMS (Wallflex) for the man...

Lymph fistula rats with either biliary fistula or pancreaticobiliary fistula were used to measure coenzyme A-independent mucosal cholesterol esterifying activity in the presence and absence of pancreatic exocrine secretion. Efficiency of pancreatic diversion was verified to minimize contamination of mucosal homogenates with adherent luminal enzyme. The synthetic activity of cholesteryl ester hy...

Although liver biopsy is a very useful procedure used frequently in the diagnosis and management of liver dysfunction occurring after orthotopic liver transplantation, complications can occur with its use. An unusual complication of arterioportal fistula is reported here. Based upon this small series of an unusual event and the knowledge that the posttransplant liver may be more hypervascular t...