In a patient with sponteneous biliary enteric fistula the most common site of communication with gall bladder is: (A) Duodenum, (B) Jejunum, (C) Ileum, (D) Transverse colon
Answer is A. .BILIARY FISTULAS - Types a. External: Usually occurs as a complication of surgery following-- * Gastrectomy. * Cholecystectomy open or laparoscopic. * CBD surgery. * Pancreatic surgery. b. Internal: * Cholecysto-duodenal fistula causing gallstone ileus. * Cholecysto-enteric fistula. * Cholecysto-choledochal fistula. External biliary fistulas are difficult to manage, often dangerous, but many a times resolve spontaneously. ref:SRB&;s manual of surgery,ed 3,pg no 593