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Spontaneous Cholecystocholedochal Fistula: Two-Year Follow-Up of a Case

Spontaneous Cholecystocholedochal Fistula: Two-Year Follow-Up of a Case Abstract For various reasons, the true incidence of biliary lithiasis is unknown. Since spontaneous internal biliary fistulae are a statistical function of cholelithiasis, their incidence is likewise unknown. One author estimates the incidence of such fistulae at 3%, based on a broad personal experience. The validity of this estimate is strongly questioned in the light of a recent paper from the Lahey Clinic,2 covering 29 years. Only 41 spontaneous internal biliary fistulae were treated in this period. This very low incidence is undoubtedly owing to more aggressive assault on the earlier phases of cholecystic disease in recent decades. Of these 41 fistulae, 3 were cholecystocholedochal. The technique of establishing this diagnosis and the management thereafter were not touched upon. That a preoperative diagnosis will frequently be impossible is recognized. From a practical standpoint, discussions with active surgeons with 15 and more years of experience have revealed the cholecystocholedochal fistula to References 1. I was then Chief Resident in Surgery at this institution. 2. Braasch, J. W.: Congenital Anomalies of the Gallbladder and Bile Ducts , S. Clin. North America , pp. 627-630 ( (June) ) 1958. 3. Marshall, S. F., and Polk, R. C.: Spontaneous Internal Biliary Fistulas , S. Clin. North America , pp. 679-691 ( (June) ) 1958. 4. Rabinovitch, J.; Rabinovitch, P.; Rosenblatt, P., and Pines, B.: Congenital Anomalies of the Gallbladder , Ann. Surg. 148:161-168, 1958.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png A.M.A. Archives Surgery American Medical Association

Spontaneous Cholecystocholedochal Fistula: Two-Year Follow-Up of a Case

A.M.A. Archives Surgery , Volume 78 (6) – Jun 1, 1959

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Publisher
American Medical Association
Copyright
Copyright © 1959 American Medical Association. All Rights Reserved.
ISSN
0096-6908
DOI
10.1001/archsurg.1959.04320060160026
Publisher site
See Article on Publisher Site

Abstract

Abstract For various reasons, the true incidence of biliary lithiasis is unknown. Since spontaneous internal biliary fistulae are a statistical function of cholelithiasis, their incidence is likewise unknown. One author estimates the incidence of such fistulae at 3%, based on a broad personal experience. The validity of this estimate is strongly questioned in the light of a recent paper from the Lahey Clinic,2 covering 29 years. Only 41 spontaneous internal biliary fistulae were treated in this period. This very low incidence is undoubtedly owing to more aggressive assault on the earlier phases of cholecystic disease in recent decades. Of these 41 fistulae, 3 were cholecystocholedochal. The technique of establishing this diagnosis and the management thereafter were not touched upon. That a preoperative diagnosis will frequently be impossible is recognized. From a practical standpoint, discussions with active surgeons with 15 and more years of experience have revealed the cholecystocholedochal fistula to References 1. I was then Chief Resident in Surgery at this institution. 2. Braasch, J. W.: Congenital Anomalies of the Gallbladder and Bile Ducts , S. Clin. North America , pp. 627-630 ( (June) ) 1958. 3. Marshall, S. F., and Polk, R. C.: Spontaneous Internal Biliary Fistulas , S. Clin. North America , pp. 679-691 ( (June) ) 1958. 4. Rabinovitch, J.; Rabinovitch, P.; Rosenblatt, P., and Pines, B.: Congenital Anomalies of the Gallbladder , Ann. Surg. 148:161-168, 1958.Crossref

Journal

A.M.A. Archives SurgeryAmerican Medical Association

Published: Jun 1, 1959

References