Bullets and biliptysis.

Nigro, John J; Arroyo, Hector; Theodorou, Demitri; Velmahos, George C; Bremner, Ross M · Ann Thorac Surg · 2002

case_report · Level V

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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.

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