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March 1928

BRONCHOBILIARY FISTULAREVIEW OF THE RECORDED CASES OTHER THAN THOSE DUE TO ECHINOCOCCUS AND AMEBIC ABSCESS

Arch Surg. 1928;16(3):697-754. doi:10.1001/archsurg.1928.01140030069003
Abstract

One of the most dramatic pictures in medical practice is that of a patient torn by racking bouts of coughing accompanied by the expectoration of a bright yellow or brilliant green sputum. The abject misery of these sufferers as well as the relative infrequency of the condition at once commands interest.

A recent instance led us to consult a number of surgeons of experience; all of them had very little acquaintance with this lesion, which indicates how seldom it is seen in the practice of any one physician.

DEFINITION  In the literature a number of cases are reported which closely simulate bronchobiliary fistulas, but which really are not instances of this condition. Some of these patients had hepatic abscesses which ruptured through the diaphragm into the pleura. These cases should be considered properly as hepatopleural or pleurobiliary fistulas. In other cases, authors reported that an abscess had emptied itself through

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