Biliary-cutaneous Fistula combined with Biliary-hepatic Venous Connection: A case report.
- Author:
Dong Sik KIM
1
;
Sung Su YUN
;
Jay Chun CHANG
;
Hong Jin KIM
;
Koing Bo KWUN
Author Information
1. Department of Surgery, College of Medicine, Yeungnam University.
- Publication Type:Case Report
- MeSH:
Bile;
Biopsy;
Blood Vessels;
Common Bile Duct;
Female;
Fistula*;
Hepatic Veins;
Humans;
Inflammation;
Liver;
Mastectomy, Segmental;
Middle Aged;
Necrosis;
Tuberculosis, Hepatic
- From:Korean Journal of Hepato-Biliary-Pancreatic Surgery
1999;3(1):113-116
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Biliary-cutaneous fistula is frequently associated with biliary surgery, hepatic trauma, liver biopsy, and percutaneous interventional procedures, etc. Bile entering the vascular system is a rare clinical situation that has been reported in association with biliary obstruction from common bile duct stones and normal blood vessels. However, we experienced a 62-year-old woman who developed a biliary-cutaneous fistula combined with biliary-hepatic venous connection and who was not associated with distal biliary obstruction. On fistulography, we detected contrast dye entering the hepatic vein from the biliary-cutaneous fistula cavity. Segmentectomy of Couinaud segment 7 was performed. Histopathologic findings showed chronic granulomatous inflammation with caseous necrosis. It was diagnosed as a primary hepatic tuberculosis.
