A case of empyema of the gall bladder.
نویسنده
چکیده
Fistulae originating in the biliary tree are now rare',2,3,4,5. This has only occured since cholecystectomy, with or without exploration of the common bile duct, came to replace non-intervention or simple cholecystostomy. Even rarer are spontaneous external biliary fistulae 1,2. These arise in the biliary tract and, by devious routes, emerge at various sites on the body surface. Before they rupture through the epidermis they are referred to as empyema necessitatis of the gall bladder. About half present in the right hypochondrium as would be expected, with some appearing through previous cholecystostomy wounds. The remainder recorded in the English language literature have appeared at the left costal margin, the umbilicus (via the falciform ligament), the right flank, the right iliac fossa, the right groin and the right thigh1,2,3,4,5. The present case adds another site to this list.
منابع مشابه
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عنوان ژورنال:
- The Ulster Medical Journal
دوره 50 شماره
صفحات -
تاریخ انتشار 1981