title: [Spontaneous and simultaneous external and internal double biliary fistula].
abstract: An exceptional case is presented of double biliary fistula, internal (to duodenum) and external (to the abdominal wall) in a patient with cholelithiasis of long evolution. The diagnosis of suspicion was made by CAT and was confirmed in the surgical act. Treatment was cholecystectomy, closure of the duodenal communication and external drainage of the parietal abscess. The postoperative evolution coursed without complications.
authors.forename: A
authors.initials: A
authors.lastname: Gutiérrez Calvo
authors.forename: V
authors.initials: V
authors.lastname: Duque Mallén
authors.forename: J
authors.initials: J
authors.lastname: Nuño Vázquez
authors.forename: J
authors.initials: J
authors.lastname: García Borda
authors.forename: A
authors.initials: A
authors.lastname: Rojas Ostalaza
authors.forename: R
authors.initials: R
authors.lastname: Santos Lloves
authors.forename: M
authors.initials: M
authors.lastname: Parrilla Martín
authors.forename: M
authors.initials: M
authors.lastname: Lomas Espadas
authors.forename: C
authors.initials: C
authors.lastname: Lucea Martínez
mesh_terms: D000009:Abdominal Muscles; D001658:Biliary Fistula / Q000150:complications / Q000473:pathology; D004378:Duodenal Diseases / Q000150:complications / Q000473:pathology; D005260:Female; D005402:Fistula / Q000150:complications / Q000473:pathology; D006801:Humans; D007412:Intestinal Fistula / Q000150:complications / Q000473:pathology; D008875:Middle Aged; D012871:Skin Diseases / Q000150:complications / Q000473:pathology; D014057:Tomography, X-Ray Computed
vernacular_title: Doble fístula biliar interna-externa espontánea simultánea.