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American Journal of Roentgenology, Vol 169, 381-383, Copyright © 1997 by American Roentgen Ray Society

ARTICLES

Biliary-pleural fistulas without biliary obstruction: percutaneous catheter management

R Feld, RJ Wechsler and J Bonn
Department of Radiology, Jefferson Medical College, Thomas Jefferson University Hospital, Philadelphia, PA 19107, USA.

OBJECTIVE: Our purpose was to report the use of percutaneous catheter drainage as a therapeutic option in the management of three patients with biliary-pleural fistulas without biliary obstructions. CONCLUSION: In the proper clinical setting, the CT findings of liver dome laceration or abscess, diaphragm disruption, and pleural effusion should suggest biliary-pleural fistula. Percutaneous catheter management can be curative or serve a temporizing function before surgery.
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