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An Unusual Cause

IRA H. FRIEDMAN, MD; JAMES M. RUBIN, MD; MORRIS KOTLER, MD; HARVEY LOZMAN, MD

AMA Arch Surg. 1964;89(3):540-543.

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

Enterobiliary fistulas are relatively uncommon complications of biliary tract disease. According to a report published in 1946, they occurred in only 4% of patients undergoing biliary tract surgery.¹ In a small percentage of patients with these fistulas, jaundice exists concurrently.² The following case report describes a previously unreported and presumably rare cause for jaundice in a patient with a chronic cholecystoduodenal fistula.

Report of Case

BIH No. 68486.

—This was the second Beth Israel Hospital admission of a 64-year-old white male with jaundice of three days' duration.

For the preceding ten years, the patient had experienced intermittent episodes of right upper-quadrant abdominal pain, occasionally associated with fever. In January, 1961, the patient was first admitted to this hospital and a diagnosis of pernicious anemia was established. At that time, an upper gastrointestinal radiologic study demonstrated an enterobiliary fistula (Fig 1), but the patient refused surgery. He was subsequently . . . [Full Text PDF of this Article]

Author Affiliations
NEW YORK

Beth Israel Hospital, formerly Chief Resident in Surgery, presently Assistant Adjunct Surgeon (Dr. Friedman); Medical Resident (Dr. Rubin); formerly Medical Resident (Dr. Kotler); formerly an Intern (Dr. Lozman).

Footnotes
Submitted for publication March 23, 1964.

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