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JAMES M. SULLIVAN, M.D.; LOUIS HAMMAN, M.D.

AMA Arch Surg. 1951;63(5):635-640.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

SPONTANEOUS internal biliary fistula is not an uncommon complication of neglected cholelithiasis, peptic ulcers, and carcinoma. The incidence, as given by various authors.¹ differs but seems to vary between 3 and 5% of all cases of biliary disease. During the past three years there have been 60 patients with disorders of the biliary tract at this hospital who either have been operated on or have come to autopsy. Of these, there have been two with internal biliary fistula, due to peptic ulcer in both.

ETIOLOGY

Hicken and Coray^1b state that 90% of biliary fistulas are caused by cholelithiasis and 6% are due to perforation of a peptic ulcer eroding into another viscus. The remaining 4% are due to carcinoma.

An internal biliary fistula, once established, generally remains open until the cause has been removed. Not only may the original fistula remain, but additional fistulas between other organs occasionally . . . [Full Text PDF of this Article]

Author Affiliations
MILWAUKEE

From the Department of Surgery, Veterans Administration Hospital, Wood, Wis. and the Marquette University School of Medicine.

Footnotes
Sponsored by the Veterans Administration and published with the approval of the Chief Medical Director. The statements and conclusions published by the authors are a result of their own study and do not necessarily reflect the opinion or policy of the Veterans Administration.

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