Spontaneous biliary cutaneous fistula communicating with intrahepatic bile duct in a six years old child: a very rare case report

摘要

Biliary cutaneous fistula or external biliary fistula is an abnormal communication between the biliary tree and the skin surface. We present here a very rare case of spontaneous biliary cutaneous fistula communicating with intrahepatic bile duct in a 6 years old child. The child suffered from chronic hepatic parenchymal disease and presented initially with abdominal wall abscess, right subdiaphragmatic collection and possible hepatic abscesses. The patient left the hospital against medical advice and returned back after 6 months with external biliary fistula in the epigastric region.