Bullets and biliptysis.
Biliptysis is a dramatic physical finding which suggests the presence of a direct communication (fistula) between the biliary and bronchial tree. We report a bronchial biliary fistula resulting from penetrating thoracoabdominal trauma and the use of positive-pressure ventilation to obtain initial fistula control prior to definitive surgical repair.
Nigro
John J
JJ
Department of Cardiothoracic Surgery, Keck School of Medicine, University of Southern California, Los Angeles County University of Southern California Medical Center, 90033, USA. jnigro@hsc.usc.edu
Arroyo
Hector
H
Theodorou
Demitri
D
Velmahos
George C
GC
Bremner
Ross M
RM
D000328:Adult; D001658:Biliary Fistula / Q000209:etiology / Q000601:surgery*; D001983:Bronchial Fistula / Q000209:etiology / Q000601:surgery*; D001999:Bronchoscopy; D006801:Humans; D008099:Liver / Q000293:injuries* / Q000601:surgery; D008168:Lung / Q000601:surgery; D055370:Lung Injury; D008297:Male; D011013:Pneumonectomy; D011175:Positive-Pressure Respiration; D013536:Suture Techniques; D014057:Tomography, X-Ray Computed; D014948:Wounds, Gunshot / Q000209:etiology / Q000601:surgery*