Abstract
Twelve patients, presenting with an acute abdomen of suspected biliary tract origin, had endoscopic retrograde cholangiography performed. Eight patients had either traumatic, spontaneous, or postoperative biliary tract fistulas with five leading to the peritoneal cavity, one to the colon, one to the bronchial tree, and one to the liver parenchyma from a ruptured gall-bladder. Each was confirmed by endoscopic retrograde cholangiography. Four patients with jaundice, following traumatic rupture of the liver, had a pathological communication between the intrahepatic biliary tracts and the hepatic vascular system. It is concluded that ERC is a reliable method for obtaining precise localization of biliary tract problems in surgical emergencies both pre- and post-operatively.
Full text
PDF



Images in this article
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Becker H. D., Schaefer H. E., Peiper H. J. Posttraumatische Hämobilie infolge arterio-biliärer Fisteln. Dtsch Med Wochenschr. 1970 Nov 13;95(46):2316–2319. doi: 10.1055/s-0028-1108827. [DOI] [PubMed] [Google Scholar]
 - Cotton P. B. Cannulation of the papilla of Vater by endoscopy and retrograde cholangiopancreatography (ERCP). Gut. 1972 Dec;13(12):1014–1025. doi: 10.1136/gut.13.12.1014. [DOI] [PMC free article] [PubMed] [Google Scholar]
 - GRAFF R. J. Considerations in the treatment of traumatic hemobilia. Am J Surg. 1963 May;105:662–666. doi: 10.1016/0002-9610(63)90246-0. [DOI] [PubMed] [Google Scholar]
 - Hendren W. H., Warshaw A. L., Fleischli D. J., Bartlett M. K. Traumatic hemobilia: non-operative management with healing documented by serial angiography. Ann Surg. 1971 Dec;174(6):991–993. doi: 10.1097/00000658-197112000-00018. [DOI] [PMC free article] [PubMed] [Google Scholar]
 - Richter J. Zur traumatischen Hämobilie. Zentralbl Chir. 1969 Apr 5;94(14):464–470. [PubMed] [Google Scholar]
 - SPENCER F. C., MENGUY R., EISEMAN B. OPERATIVE CHOLANGIOGRAPHY IN MANAGEMENT OF TRAUMATIC HEMOBILIA. Surgery. 1963 Aug;54:376–381. [PubMed] [Google Scholar]
 - Safrany L., Schönleben K., Wittrin G., Rüdiger E. Die Hämobilie. Leber Magen Darm. 1975 Oct;5(5):229–234. [PubMed] [Google Scholar]
 - Sandblom P. Hemobilia. Surg Clin North Am. 1973 Oct;53(5):1191–1201. doi: 10.1016/s0039-6109(16)40146-5. [DOI] [PubMed] [Google Scholar]
 - Steichen F. M., Sheiner N. M. Traumatic intrahepatic hemobilia. Arch Surg. 1966 Jun;92(6):838–847. doi: 10.1001/archsurg.1966.01320240026006. [DOI] [PubMed] [Google Scholar]
 - Sáfrány L., Tari J., Barna L., Török I. Endoscopic retrograde cholangiography. Experience of 168 examinations. Gastrointest Endosc. 1973 May;19(4):163–168. doi: 10.1016/s0016-5107(73)73990-0. [DOI] [PubMed] [Google Scholar]
 - Watkins L., Laufer I., Evans G., Mullens J. E. Biliary-bronchial fistula demonstrated by endoscopic retrograde cholangiography. Can Med Assoc J. 1975 Nov 8;113(9):868–874. [PMC free article] [PubMed] [Google Scholar]
 - Whelan T. J., Gillespie J. T. Treatment of Traumatic Hemobilia. Ann Surg. 1965 Nov;162(5):920–932. doi: 10.1097/00000658-196511000-00018. [DOI] [PMC free article] [PubMed] [Google Scholar]
 






