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Sterility of bile in multiple-organ donors.

When liver removal is part of a multiple-organ procurement, bile in a liver donor is usually washed out of the biliary tree to prevent autolysis of the bile duct mucosa during cold storage (1). During the “lavage,” bile is spilled in the peritoneal cavity. The possibility that this bile is infected has often concerned surgeons removing the kidneys, heart, or other organs. Consequently, we undertook a bacteriologic study to see if flushing of the biliary system introduced a potential source of contamination of other organs.