Presenter: Asmita Chopra MD | The University of Toledo Background: Acquired bronchobiliary fistula (BBF) is a rare and challenging complication resulting in an abnormal connection between the bronchial system biliary tree. It most commonly presents with pathognomonic productive cough featuring bilious-tinged sputum or “biloptysis”. BBFs can be associated hepatic abscesses, malignancy liver dire...

1 published an original article on the efficacy of the endoscopic management of bile leak after cholecystectomy. Endoscopic management , which involved biliary stent placement with or without biliary sphincterotomy, was successful in 30 of 32 cases (93.8%). Complications of endoscopic management occurred in four of 32 cases (1.3%), but were managed conservatively without se-quelae. 1 Results fr...

Dear Sir, We have read with interest the article “Diagnosis of gallbladder perforation—a puzzle!” by Cowksey SR et al. [1] While describing the clinical data of the 5 patients, the authors have not mentioned the physical findings and the clinical diagnosis in respect of these patients. Though the role of investigations like MR imaging, ERCP, cholescintigraphy, etc. has been mentioned by authors...

The introduction of laparoscopic cholecystectomy (LC) was associated with an increased incidence of biliary injuries. One of the initial series reported an incidence of bile duct or hepatic duct injuries of roughly 0.5%, likely an underestimate [1]. A substantial decline in such complications was noted with acquisition of experience in LC. Subsequent studies reported an incidence of 0.8% to 1.1...