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The presence of large stones, >2.5 cm in diameter, within the gallbladder are thought to predispose to fistula formation by gradual erosion through the gallbladder fundus. [1] Once a fistula has formed, a stone may travel from the gallbladder into the bowel and become lodged almost anywhere along the gastrointestinal tract.
Pneumobilia is the presence of gas in the biliary system.It is typically detected by ultrasound or a radiographic imaging exam, such as CT, or MRI.It is a common finding in patients that have recently undergone biliary surgery or endoscopic biliary procedure.
A biliary fistula is a type of fistula in which bile flows along an abnormal connection from the bile ducts into a nearby hollow structure. Types of biliary fistula include: bilioenteric fistula: abnormal connection to small bowel, usually duodenum. thoracobiliary fistula: abnormal connection to pleural space or bronchus (rare).
Rectovaginal fistulas are often the result of trauma during childbirth (in which case it is known as obstetric fistula), with increased risk associated with significant lacerations or interventions are used such as episiotomy or operative (forceps/vacuum extraction) deliveries [2] or in situations where there is inadequate health care, such as in some developing countries.
An enterocutaneous fistula (ECF) is an abnormal communication between the small or large bowel and the skin that allows the contents of the stomach or intestines to leak through an opening in the skin.
Haemobilia occurs when there is a fistula between a vessel of the splanchnic circulation and the intrahepatic or extrahepatic biliary system. It can present as acute upper gastrointestinal (UGI) bleeding.
An aortoenteric fistula is a connection between the aorta and the intestines, stomach, or esophageus. [1] There can be significant blood loss into the intestines resulting in bloody stool and death. [1] It is usually secondary to an abdominal aortic aneurysm repair.
Impacted gallstone in the cystic duct is obstructing the common hepatic duct. Mirizzi's syndrome is a rare complication in which a gallstone becomes impacted in the cystic duct or neck of the gallbladder causing compression of the common hepatic duct, resulting in obstruction and jaundice.