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Article
November 27, 1943

SPONTANEOUS HEPATICOGASTRIC BILIARY FISTULA

Author Affiliations

MEDICAL CORPS, ARMY OF THE UNITED STATES

From the Surgical Service of the Station Hospital, Camp Gordon, Georgia.

JAMA. 1943;123(13):830-832. doi:10.1001/jama.1943.82840480001009a
Abstract

This case is reported for three reasons: (1) No other cases have been encountered in the literature, (2) symptoms which suggested biliary tract disease were absent and (3) any type of biliary fistula in the age group of the patient is rare.

Judd and Burden1 in 1925, in reporting 153 cases of spontaneous internal biliary fistula from the Mayo Clinic, stated that they were not aware of any cases in the literature in which the fistula originated in the hepatic duct. Dean2 in June 1939 reported the first case of hepaticoduodenal fistula and Puestow3 in June 1942 reported a similar case. No other case of spontaneous internal biliary fistula originating in the hepatic duct has been found in the literature.

Spontaneous internal biliary fistulas from any origin terminating in the stomach are rare. Of the 200 cases reported by Naunyn4 only 8 involved the stomach, and

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