Unusual complications of gallstones.

Abstract

Extrinsic compression of the bile duct from gallstone disease is associated with bilio-biliary fistulization, requiring biliary-enteric reconstruction. Biliary-enteric fistulas are associated with intestinal obstruction at various levels. The primary goal of therapy is relief of intestinal obstruction; definitive repair is performed for selected patients. Hemobilia from gallstone-related pseudoaneurysms is preferentially controlled by selective arterial embolization. Rapidly increasing jaundice with relatively normal liver enzymes is a diagnostic hallmark of bilhemia. Acquired thoraco-biliary fistulas are primarily treated by percutaneous and endoscopic interventions.

• Authors: Minh B Luu, Daniel J Deziel
• Journal: The Surgical clinics of North America (Surg Clin North Am) Vol. 94 Issue 2 Pg. 377-94 (Apr 2014) ISSN: 1558-3171 [Electronic] United States
• PMID: 24679427 (Publication Type: Journal Article, Review)
• Copyright: Copyright © 2014 Elsevier Inc. All rights reserved.

Topics

• Biliary Fistula (diagnosis, etiology, surgery)
• Cutaneous Fistula (etiology)
• Duodenal Diseases (etiology)
• Gallstones (complications)
• Hemobilia (etiology)
• Humans
• Ileus (etiology, surgery)
• Intestinal Fistula (etiology)
• Mirizzi Syndrome (diagnosis, etiology, surgery)
• Respiratory Tract Fistula (etiology)
• Tomography, X-Ray Computed
• Urinary Fistula (etiology)
• Vascular Fistula (etiology)