Cholecystocutaneous biliary fistula: An unexpected cause for parastomal ulceration

2021 ◽  
Author(s):  
Tahmina Jahan Lata ◽  
Tae‐Jun Kim ◽  
Alexandra Limmer ◽  
Havish Srinath ◽  
Ross Warner
Keyword(s):  
Biliary Fistula

A HOME-MADE BILIARY SENGSTAKEN TUBE AS A TEMPORIZING STRATEGY FOR MASSIVE BLEEDING SECONDARY TO ARTERIO-BILIARY FISTULA (ABF)

2018 ◽  
Author(s):  
M Cimavilla-Roman ◽  
R Torres-Yuste ◽  
A Carbajo-Lopez ◽  
R Sanchez-Ocana ◽  
M de Benito-Sanz ◽  
...  
Keyword(s):  
Massive Bleeding ◽  
Biliary Fistula

Heparin Excretion in Intact and Hepatectomized Rats

1981 ◽  
Vol 45 (02) ◽  
pp. 146-149
Author(s):  
Ray Losito ◽  
Harry Gattiker ◽  
Ginette Bilodeau
Keyword(s):  
Column Chromatography ◽  
Normal Values ◽  
Anticoagulant Activity ◽  
Biliary Fistula ◽  
Kinetics Of ◽  
Intact Rats

SummaryMetabolism and kinetics of 3H-heparin were compared in intact and hepatectomized rats. Rats were divided into three groups: 1) intact rats with biliary fistulas and cystostomies 2) intact rats with only cystostomies and 3) hepatectomized rats with cystostomies. Radioactivity in blood, bile and urine besides anticoagulant activity in blood and urine were examined. In addition, column chromatography of urine was used to isolate possible metabolites. Seventy percent and 80% of the radioactive dose was found in the urine of intact rats at 24 hr and 48 hr. Close to 5% of the radioactivity was found in bile or rats with a biliary fistula after 48 hr. The APTT declined to near normal values at 1 hr whether rats had a biliary fistula or not. In contrast, only 25 % of the radioactivity could be excreted into the urine of hepatectomized rats in 24 hr; the APTT did not decline as fast and at 5 hr, it was still 100 seconds. Only one radioactive component could be isolated on chromatography from all urines of these animals and appears to be similar to the original heparin. Thus, the liver has an important role to play in regulating the anticoagulant effects and excretion of heparin.

The Effect of Alcohol on Bile Volume and Constituents in Biliary Fistula Dogs

1941 ◽  
Vol 1 (4) ◽  
pp. 645-649 ◽  
Author(s):  
Alvin L. Berman ◽  
Eugene Snapp ◽  
Andrew C. Ivy ◽  
Arthur J. Atkinson
Keyword(s):  
Biliary Fistula

scholarly journals Arterio-biliary fistula caused by a hepatic artery pseudoaneurysm in a recently performed liver transplant: successful resolution and long-term liver implant preservation using a covered coronary stent

2020 ◽  
Vol 3 (1) ◽  
Author(s):  
Alfredo Páez-Carpio ◽  
Elena Serrano ◽  
Federico Zarco ◽  
Constantino Fondevila ◽  
Marta Burrel
Keyword(s):  
Bile Duct ◽  
Liver Transplant ◽  
Hepatic Artery ◽  
Biliary Fistula ◽  
Coronary Stent ◽  
Artery Pseudoaneurysm ◽  
Hepatic Artery Pseudoaneurysm ◽  
Successful Resolution ◽  
Standardized Treatment

Abstract Background The formation of a hepatic artery pseudoaneurysm in a liver implant is a rare but potentially fatal complication. Fistulization of such pseudoaneurysms into the bile duct is sporadic. The most common causes of hepatic artery pseudoaneurysm are infection at the anastomosis site, inadequate surgical technique, and an iatrogenic origin due to minimally invasive procedures. Currently, there is no standardized treatment in neither of these complications, with surgery and various endovascular procedures among the alternatives available. None of these therapeutic approaches has demonstrated a significant increase in long-term liver implant preservation. Case presentation A 56-year-old man with a two-month liver transplant presented with massive upper gastrointestinal bleeding and hemobilia shortly after the performance of an endoscopic retrograde cholangiopancreatography due to the presence of a hepatic artery pseudoaneurysm with fistulization into the bile duct. This case report describes the successful treatment of both complications, the hepatic artery pseudoaneurysm and the arterio-biliary fistula, using a covered coronary stent placed in the hepatic artery. A year and a half after treatment, the patient maintains a preserved liver implant and a patent hepatic artery. Conclusions Treatment of a hepatic artery pseudoaneurysm with fistulization into bile duct using a covered coronary stent allowed the correct repair of the defect, adequate hemorrhage control, and long-term liver implant preservation.

scholarly journals Epidemiology and outcome of patients with postoperative abdominal fistula

2016 ◽  
Vol 43 (2) ◽  
pp. 117-123 ◽  
Author(s):  
Janaina Wercka ◽  
Patricia Paola Cagol ◽  
André Luiz Parizi Melo ◽  
Giovani de Figueiredo Locks ◽  
Orli Franzon ◽  
...  
Keyword(s):  
Biliary Fistula ◽  
Spontaneous Closure ◽  
Significant Morbidity ◽  
Fistula Closure ◽  
Cross Sectional ◽  
Predictors Of Mortality ◽  
Closure Time ◽  
Epidemiological Profile ◽  
Time To Onset ◽  
Age Over 60

ABSTRACT Objective: to present the epidemiological profile, incidence and outcome of patients who developing postoperative abdominal fistula. Methods: This observational, cross-sectional, prospective study evaluated patients undergoing abdominal surgery. We studied the epidemiological profile, the incidence of postoperative fistulas and their characteristics, the outcome of this complication and the predictors of mortality. Results: The sample consisted of 1,148 patients. The incidence of fistula was 5.5%. There was predominance of biliary fistula (26%), followed by colonic fistulas (22%) and stomach (15%). The average time to onset of fistula was 6.3 days. For closure, the average was 25.6 days. The mortality rate of patients with fistula was 25.4%. Predictors of mortality in patients who developed fistula were age over 60 years, presence of comorbidities, fistula closure time more than 19 days, no spontaneous closure of the fistula, malnutrition, sepsis and need for admission to the Intensive Care Unit Conclusion: abdominal postoperative fistulas are still relatively frequent and associated with significant morbidity and mortality.

Internal Biliary Fistula

JAMA ◽  
1962 ◽  
Vol 179 (3) ◽  
pp. 198 ◽  
Author(s):  
Mario A. Calonje
Keyword(s):  
Biliary Fistula ◽  
Internal Biliary Fistula

scholarly journals Endoscopic Treatment of Postoperative External Biliary Fistula in a Patient Operated on for Hepatic Injury Due to Multiple Trauma

1996 ◽  
Vol 3 (1) ◽  
pp. 67-72
Author(s):  
Marco de Monti ◽  
Davide Sonnino ◽  
Marina Gorziglia ◽  
Giorgio Redaelll ◽  
Marcello Scarpis
Keyword(s):  
Young Patient ◽  
Multiple Trauma ◽  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Endoscopic Treatment ◽  
Operative Technique ◽  
Hepatic Injury ◽  
Complete Healing ◽  
Biliary Fistula ◽  
Motorcycle Accident

After surgery for hepatic injury as a result of blunt abdominal trauma from a motorcycle accident, an external biliary fistula developed in a young patient. The authors describe the rapid and complete healing of the fistula by use of a nasobiliary catheter. These findings emphasize the importance of endoscopic operative technique for postoperative and traumatic external biliary fistulas.

Differential intestinal deconjugation of taurine and glycine bile acid N-acyl amidates in rats

1992 ◽  
Vol 262 (2) ◽  
pp. G351-G358
Author(s):  
R. Zhang ◽  
S. Barnes ◽  
R. B. Diasio
Keyword(s):  
High Performance Liquid Chromatography ◽  
Small Intestine ◽  
Liquid Chromatography ◽  
Bile Acid ◽  
Chenodeoxycholic Acid ◽  
High Performance ◽  
Biliary Fistula ◽  
The Difference ◽  
The Stability ◽  
Rat Bile

Mechanisms responsible for the difference in the relative amounts of taurine- and glycine-conjugated bile acid N-acyl amidates (Tau/Gly ratio) are not fully understood. In the present study, the stability of taurine- and glycine-conjugated bile acid N-acyl amidates during intestinal transit and absorption was examined to investigate the contribution of intestinal deconjugation to the Tau/Gly ratio in rat bile. Radiolabeled chenodeoxycholic acid (CDC) and its N-acyl amidates with glycine (CDC-Gly) or taurine (CDC-Tau) were introduced into the lumen of the upper small intestine in the biliary fistula rats, and radioactive metabolites in bile, blood, urine, and tissues were identified and quantitated by high-performance liquid chromatography. Results indicated that 1) extensive deconjugation of CDC-Gly occurs during intestinal absorption; 2) CDC-Tau is recovered in bile largely intact; and 3) newly synthesized CDC-Tau and CDC-Gly are formed in a ratio of less than 2:1 after administration of [14C]-CDC. In summary, the present study demonstrates that resistance of taurine-conjugated bile acid N-acyl amidates to hydrolysis in the intestine, rather than a difference in synthesis of taurine- and glycine-conjugated N-acyl amidates in liver, may account for the high Tau/Gly ratio in rat bile.

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