Korean J Hepatobiliary Pancreat Surg.  1999 Feb;3(1):113-116.

Biliary-cutaneous Fistula combined with Biliary-hepatic Venous Connection: A case report

• Kim DS
• Yun SS
• Chang JC
• Kim HJ
• Kwun KB

Abstract

Biliary-cutaneous fistula is frequently associated with biliary surgery, hepatic trauma, liver biopsy, and percutaneous interventional procedures, etc. Bile entering the vascular system is a rare clinical situation that has been reported in association with biliary obstruction from common bile duct stones and normal blood vessels. However, we experienced a 62-year-old woman who developed a biliary-cutaneous fistula combined with biliary-hepatic venous connection and who was not associated with distal biliary obstruction. On fistulography, we detected contrast dye entering the hepatic vein from the biliary-cutaneous fistula cavity. Segmentectomy of Couinaud segment 7 was performed. Histopathologic findings showed chronic granulomatous inflammation with caseous necrosis. It was diagnosed as a primary hepatic tuberculosis.

MeSH Terms

Bile
Biopsy
Blood Vessels
Common Bile Duct
Female
Fistula*
Hepatic Veins
Humans
Inflammation
Liver
Mastectomy, Segmental
Middle Aged
Necrosis
Tuberculosis, Hepatic