title: Unusual complications of gallstones.
abstract: Extrinsic compression of the bile duct from gallstone disease is associated with bilio-biliary fistulization, requiring biliary-enteric reconstruction. Biliary-enteric fistulas are associated with intestinal obstruction at various levels. The primary goal of therapy is relief of intestinal obstruction; definitive repair is performed for selected patients. Hemobilia from gallstone-related pseudoaneurysms is preferentially controlled by selective arterial embolization. Rapidly increasing jaundice with relatively normal liver enzymes is a diagnostic hallmark of bilhemia. Acquired thoraco-biliary fistulas are primarily treated by percutaneous and endoscopic interventions.
authors.affiliation: Department of General Surgery, Rush University Medical Center, Rush Medical College, 1633 West Congress Parkway, Chicago, IL 60612, USA. Electronic address: minh_luu@rush.edu.
authors.forename: Minh B
authors.initials: MB
authors.lastname: Luu
authors.affiliation: Department of General Surgery, Rush University Medical Center, Rush Medical College, 1633 West Congress Parkway, Chicago, IL 60612, USA.
authors.forename: Daniel J
authors.initials: DJ
authors.lastname: Deziel
mesh_terms: D001658:Biliary Fistula / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D017577:Cutaneous Fistula / Q000209:etiology; D004378:Duodenal Diseases / Q000209:etiology; D042882:Gallstones / Q000150:complications*; D006431:Hemobilia / Q000209:etiology; D006801:Humans; D045823:Ileus / Q000209:etiology / Q000601:surgery; D007412:Intestinal Fistula / Q000209:etiology; D057792:Mirizzi Syndrome / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D016156:Respiratory Tract Fistula / Q000209:etiology; D014057:Tomography, X-Ray Computed; D014548:Urinary Fistula / Q000209:etiology; D016157:Vascular Fistula / Q000209:etiology
keywords: Complications; Fistula; Gallstones; Lost stones; Obstruction