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S. TRUBOWITZ, M.D.

AMA Arch Intern Med. 1951;88(3):400-405.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

THE SUDDEN appearance of deeply bile-stained sputum in the course of a disease process is indeed a striking and dramatic event. The essential dynamics for such a complication seem to be the formation of a cavity either in the substance of the liver or in a walled-off subphrenic space, but in continuity with the biliary tree, and concomitantly a mechanism maintaining an increased pressure within the bile duct to allow for a continued flow of bile through the channel between the liver and the lung. These conditions are met most frequently in the parasitic diseases of the liver, and it is especially in amebic abscesses and Echinococcus cysts of the liver that bronchobiliary fistulas may be encountered. In the nonparasitic diseases of the liver the formation of a bronchobiliary fistula is quite uncommon. This rare and, as far as I have been able to ascertain, unreported complication of Hodgkin's involvement . . . [Full Text PDF of this Article]

Author Affiliations
MONTROSE, N. Y.

From the Medical Service, Halloran Veterans Administration Hospital, Staten Island, N. Y.

Footnotes
Sponsored by the Veterans Administration and published with the approval of the Chief Medical Director. The statements and conclusions published by the author are a result of his own study and do not necessarily reflect the opinion or policy of the Veterans Administration.

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