Biliary fistula

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Biliary fistula
Duodeno Biliary Fistula 08786.jpg
Duodeno Biliary Fistula
Classification and external resources
Specialty Lua error in Module:Wikidata at line 446: attempt to index field 'wikibase' (a nil value).
ICD-10 K83.3
ICD-9-CM 576.4
Patient UK Biliary fistula
MeSH D001658
[[[d:Lua error in Module:Wikidata at line 863: attempt to index field 'wikibase' (a nil value).|edit on Wikidata]]]

A biliary fistula is a type of fistula in which bile flows along an abnormal connection from the bile ducts into nearby hollow structure. Types of biliary fistula include:

  • bilioenteric fistula: abnormal connection to small bowel, usually duodenum.
  • thoracobiliary fistula: abnormal connection to pleural space or bronchus (rare).

These may be contrasted to a bile leak, in which bile escapes the bile ducts through a perforation or faulty surgical anastomosis into the abdominal cavity. Damage to a bile duct may result in a leak, which may eventually become a biliary fistula.

Causes

It can occur as a complication following biliary trauma (such as cholelithiasis),[1] as an iatrogenic effect or as a result of a penetrating injury.

Presentation

A biliary fistula often occurs in be suspected in a person who has recently undergone a surgical procedure, Pain may occur if the leaked bile is also infected, which can subsequently lead to biliary peritonitis.

Extensive ascites may accumulate, especially in the setting of sterile bile leakage, which is often asymptomatic in nature.


See also:

References

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