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KMID : 0870419990030010113
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Korean Journal of Hepato-Biliary-Pancreatic Surgery
1999 Volume.3 No. 1 p.113 ~ p.116
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Biliary-cutaneous Fistula combined with Biliary-hepatic Venous Connection -A case report-
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Kim Dong-Sik
Yun Sung-Soo
Chang Jae-Chun
Kim Hong-Jin
Kwun Koing-Bo
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Abstract
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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.
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