title: Spontaneous cutaneous biliary fistula: a rare complication of cholangiocarcinoma.
abstract: A rare case of intrahepatic-cutaneous biliary fistula resulted from obstruction of the biliary tree by cholangiocarcinoma in the hilar area. The diagnosis was made clinically by the presence of a constant pus discharge through the fistula opening and confirmed by sonogram, computed tomogram (CT), and surgery. To our knowledge, there have been no previous reports of such a fistula as the presenting symptom of cholangiocarcinoma.
authors.affiliation: Department of Gastroenterology, Chang Gung Memorial Hospital, Taipei, Taiwan, Republic of China.
authors.forename: Y C
authors.initials: YC
authors.lastname: Kuo
authors.forename: C S
authors.initials: CS
authors.lastname: Wu
mesh_terms: D002759:Adenoma, Bile Duct / Q000150:complications*; D001658:Biliary Fistula / Q000175:diagnosis / Q000209:etiology*; D003138:Common Bile Duct Neoplasms / Q000150:complications*; D005260:Female; D005402:Fistula / Q000209:etiology*; D006801:Humans; D008875:Middle Aged; D012871:Skin Diseases / Q000209:etiology*; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography