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COMMANDER J. L. YON, MC; CAPTAIN L. G. BELL, MC

AMA Arch Surg. 1953;66(2):260-264.

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

INTERNAL biliary fistulas, although not common, are no longer surgical curiosities. Choledochoduodenal fistulas, other than those secondary to cholelithiasis, are, however, extremely rare. Judd and Burden,¹ in their review of 153 cases of internal biliary fistula at the Mayo Clinic in which surgery had been performed, found only 1 such fistula between the common duct and the duodenum, while they encountered 148 between the gall bladder and the duodenum. They felt that all of these fistulas had been caused by cholelithiasis. Davison and Aries² found only 7 cases of internal biliary fistula in 6,000 autopsies at Cook County Hospital, and in none of these was an antemortem diagnosis made. Bernard,³ according to Eliason and Stevens,⁴ found 109 such fistulas in 6,263 patients having surgical intervention upon the biliary system, an incidence of 1.8% in biliary tract surgery. Those authors describe the following types of biliary fistulas: . . . [Full Text PDF of this Article]

Author Affiliations
U.S.N.; U.S.N.

Footnotes
This article has been released for publication by the Division of Publications of the Bureau of Medicine and Surgery of the United States Navy. The opinions and views set forth are those of the writers and are not to be construed as reflecting the policies of the Navy Department.

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