Thoracobiliary fistulas are a commonly reported complication of subphr
enic or liver abscesses and biliary tract obstruction. However, they a
re a rare and unusual complication of traumatic thoracoabdominal wound
s. Due to their rarity, the experience of any one surgeon is minimal,
and there is a paucity of information available in the literature rega
rding their treatment. We describe a case of a traumatic thoracobiliar
y fistula, review the existing literature, and discuss the proper mana
gement of this potentially lethal sequela of trauma.