Accurate systems for recording data and follow-up clinics in many hospitals verify the excellent results of surgical intervention on the biliary tract.1 A surgical accident with the results described here is rarely seen. The accompanying illustration indicates the injury which occurred to the common duct when the gallbladder was removed. The dotted lines show the gap between the stump of the common duct and the duodenum. The disturbance in the flow of bile resulted in cholangeitis, a suppurating process in the subphrenic space and finally the formation of a fistulous tract between the bile ducts and the bronchial tree.
REPORT OF A CASE
N. H., an English housewife, aged 31, thin and poorly nourished, was first admitted to the Truesdale Hospital on April 11, 1928. A year previously cholecystectomy was done at another hospital, and since that time the patient had suffered from general weakness and malaise and a