Sanowski R A
Am J Gastroenterol. 1978 Dec;70(6):649-52.
Spontaneous external biliary fistula, once common, is now a rare clinical entity. A patient with this lesion is described and attention is drawn to the fact that this rare condition is still being seen in certain patients with neglected cholecystitis. Heroin addiction was thought to have modified his response to gallbladder disease and contributed to the perforation. Diagnosis was suspected on physical examination and confirmed by spontaneous discharge of stones and fistulogram.
自发性外胆管瘘曾较为常见，如今已成为一种罕见的临床病症。本文描述了一名患有该病症的患者，并提请注意这样一个事实，即这种罕见病症在某些患有被忽视胆囊炎的患者中仍可见到。据认为，海洛因成瘾改变了他对胆囊疾病的反应并导致了穿孔。通过体格检查怀疑诊断，并经结石自然排出和瘘管造影得以证实。
