title: Bullets and biliptysis.
abstract: 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.
authors.affiliation: 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
authors.forename: John J
authors.initials: JJ
authors.lastname: Nigro
authors.forename: Hector
authors.initials: H
authors.lastname: Arroyo
authors.forename: Demitri
authors.initials: D
authors.lastname: Theodorou
authors.forename: George C
authors.initials: GC
authors.lastname: Velmahos
authors.forename: Ross M
authors.initials: RM
authors.lastname: Bremner
mesh_terms: 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*