• DOI:10.2169/INTERNALMEDICINE.50.4431
• Corpus ID: 15776234

Spontaneous external biliary fistula: a rare complication of cholangiocarcinoma.

@article{Song2011SpontaneousEB,
  title={Spontaneous external biliary fistula: a rare complication of cholangiocarcinoma.},
  author={In-Do Song and Hyoung-Chul Oh and Jae Hyuk Do and Laeseung Jeong and Beom Jin Kim and Jeong Wook Kim and Jae Gyu Kim and Kyong-Choun Chi and Mi Kyung Kim},
  journal={Internal medicine},
  year={2011},
  volume={50 5},
  pages={
          443-6
        }
}

• In-Do Song, Hyoung-Chul Oh, +6 authors M. K. Kim
• Published 2011
• Medicine
• Internal medicine

A 68-year-old woman presented with yellowish discharge oozing from a fistula opening in the upper epigastric area that had persisted for one month prior to her visit. The patient had undergone a left lateral segmentectomy of the liver ten years prior for treatment of intrahepatic duct (IHD) stones. An abdominal computed tomography (CT) scan showed focal stricture and proximal dilatation of remnant IHD and a 1 cm-sized rim-enhancing lesion located under the surgical bed of the abdominal wall surrounding the dilated remnant IHD. Despite conservative management including nasobiliary drainage, no further improvement was anticipated. Partial hepatectomy and fistulectomy were performed for pathologic diagnosis and treatment of the enhancing lesion. Histopathology revealed adenocarcinoma. In this case, cholangiocarcinoma might have arisen in association with IHD stones and then developed a choledocho-cutaneous fistula as a clinical manifestation.