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Case Reports
. 2002 May;73(5):1645-7.
doi: 10.1016/s0003-4975(01)03464-6.

Bullets and biliptysis

John J Nigro  1 , Hector Arroyo Jr, Demitri Theodorou, George C Velmahos, Ross M Bremner
Affiliations
Case Reports

Bullets and biliptysis

John J Nigro et al. Ann Thorac Surg. 2002 May.

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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