<p>This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</p> <p>A 25-year old man presented with a high output external biliary fistula after an operation for a giant
hydatid cyst of the liver. Endoscopic sphincterotomy was inadequate to close the fistula. A nasobiliary
tube was selectively inserted into the leaking hepatic duct and bile was continuously aspirated. The
fistula and the residual cavity healed completely. Details of the patients' management using this
alternative technique, are discussed.</p>
[]
HPB Surg. 1992; 6(2):115-124