Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 14-Day Trial for You or Your Team.

Learn More →

AIR IN THE BILIARY PASSAGES: A Review and Report of a Case

AIR IN THE BILIARY PASSAGES: A Review and Report of a Case Abstract OUR BELIEF is that the future success in the diagnosis of internal biliary fistula lies not in roentgenologic examination exclusively but more in evaluation of the pathologic antecedents that accompany the biliary fistula. With more emphasis placed on clinical study of cases of biliary disease, a greater number of biliary fistulas will be recognized earlier, thus minimizing future complications, and with more attention to the preoperative care the present mortality rate following operations on internal biliary fistulas will be reduced. Spontaneous internal biliary fistulas are infrequent. The majority result from infections and calculi in the gallbladder or are caused by a perforative ulcer or a malignant growth of the stomach or bowel. According to the literature, in only 108 cases have internal biliary fistulas been recognized preoperatively, and all have been diagnosed by roentgenologic examination. Of this number, including our case, in only 12 cases has diagnosis been made by References 1. Courvousier, L. G.: Casuistisch-statistische Beiträge zur Pathologie und Chirurgie der Gallenwege , Leipzig, F. C. W. Vogel, 1890, pp. 83-114. 2. Roth, cited by Courvousier.1 3. Dean, G. O.: Internal Biliary Fistulas , Surgery 5:857-864 ( (June) ) 1939. 4. Puestow, C. B.: Spontaneous Internal Biliary Fistula , Ann. Surg. 115: 1043-1054 ( (June) ) 1942.Crossref 5. Pataro, F. A.: La diarrea como síntoma de presunción diagnóstica de las fistulas biliares internas , Semana méd. 2:524-535 ( (Sept. 2) ) 1943. 6. Garland, L. H., and Brown, J. M.: Roentgen Diagnosis of Spontaneous Internal Biliary Fistulae, Especially Those Involving the Common Bile Duct , Radiology 38:154-159 ( (Feb.) ) 1942. 7. Murchison, C.: A Clinical Lecture on Diseases of the Liver, Jaundice and Abdominal Dropsy , edited by T. L. Brunton, London, Longmans, Green & Co., 1885, p. 569. 8. Stevenson, C. A., and Sherwood, M. W.: The Roentgen Diagnosis of Cholecystocolic Fistula , Radiology 35:616-621 ( (Nov.) ) 1940. 9. Bengolea, A. J., and Velasco Suárez, C.: Las fistulas bilares internas; contribucion a su estudio , Rev. med.-quir. de pat. fem. 7:125, 1936. 10. Rigler, L. G.; Borman, C. N., and Noble, J. F.: Gallstone Obstruction: Pathogenesis and Roentgen Manifestations , J. A. M. A. 117:1753-1759 ( (Nov. 22) ) 1941.Crossref 11. Eliason, E. L., and Stevens, L. W.: Spontaneous Internal Biliary Fistula , Am. J. Surg. 51:387-392 ( (Feb.) ) 1941.Crossref 12. Judd, E. S., and Burden, V. G.: Internal Biliary Fistula , Ann. Surg. 81: 305-312 ( (Jan.) ) 1925.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

AIR IN THE BILIARY PASSAGES: A Review and Report of a Case

Loading next page...
 
/lp/american-medical-association/air-in-the-biliary-passages-a-review-and-report-of-a-case-H7bXKLOEs2
Publisher
American Medical Association
Copyright
Copyright © 1946 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1946.01230060663005
Publisher site
See Article on Publisher Site

Abstract

Abstract OUR BELIEF is that the future success in the diagnosis of internal biliary fistula lies not in roentgenologic examination exclusively but more in evaluation of the pathologic antecedents that accompany the biliary fistula. With more emphasis placed on clinical study of cases of biliary disease, a greater number of biliary fistulas will be recognized earlier, thus minimizing future complications, and with more attention to the preoperative care the present mortality rate following operations on internal biliary fistulas will be reduced. Spontaneous internal biliary fistulas are infrequent. The majority result from infections and calculi in the gallbladder or are caused by a perforative ulcer or a malignant growth of the stomach or bowel. According to the literature, in only 108 cases have internal biliary fistulas been recognized preoperatively, and all have been diagnosed by roentgenologic examination. Of this number, including our case, in only 12 cases has diagnosis been made by References 1. Courvousier, L. G.: Casuistisch-statistische Beiträge zur Pathologie und Chirurgie der Gallenwege , Leipzig, F. C. W. Vogel, 1890, pp. 83-114. 2. Roth, cited by Courvousier.1 3. Dean, G. O.: Internal Biliary Fistulas , Surgery 5:857-864 ( (June) ) 1939. 4. Puestow, C. B.: Spontaneous Internal Biliary Fistula , Ann. Surg. 115: 1043-1054 ( (June) ) 1942.Crossref 5. Pataro, F. A.: La diarrea como síntoma de presunción diagnóstica de las fistulas biliares internas , Semana méd. 2:524-535 ( (Sept. 2) ) 1943. 6. Garland, L. H., and Brown, J. M.: Roentgen Diagnosis of Spontaneous Internal Biliary Fistulae, Especially Those Involving the Common Bile Duct , Radiology 38:154-159 ( (Feb.) ) 1942. 7. Murchison, C.: A Clinical Lecture on Diseases of the Liver, Jaundice and Abdominal Dropsy , edited by T. L. Brunton, London, Longmans, Green & Co., 1885, p. 569. 8. Stevenson, C. A., and Sherwood, M. W.: The Roentgen Diagnosis of Cholecystocolic Fistula , Radiology 35:616-621 ( (Nov.) ) 1940. 9. Bengolea, A. J., and Velasco Suárez, C.: Las fistulas bilares internas; contribucion a su estudio , Rev. med.-quir. de pat. fem. 7:125, 1936. 10. Rigler, L. G.; Borman, C. N., and Noble, J. F.: Gallstone Obstruction: Pathogenesis and Roentgen Manifestations , J. A. M. A. 117:1753-1759 ( (Nov. 22) ) 1941.Crossref 11. Eliason, E. L., and Stevens, L. W.: Spontaneous Internal Biliary Fistula , Am. J. Surg. 51:387-392 ( (Feb.) ) 1941.Crossref 12. Judd, E. S., and Burden, V. G.: Internal Biliary Fistula , Ann. Surg. 81: 305-312 ( (Jan.) ) 1925.Crossref

Journal

Archives of SurgeryAmerican Medical Association

Published: Dec 1, 1946

References