The usual cause is an underlying bilio-enteric fistula between the gallbladder and duodenum (cholecystoduodenal fistula) through which the stone migrates into. Gallstone ileus is peculiar because it can take the form of a high intestinal obstruction followed by a low intestinal obstruction as the stone travels down the. Cholecystoduodenal fistulas usually are caused by gallstones, eroding through the contact point of the inflamed gallbladder with the adjacent bowel, in contrast.
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December 22, ; Accepted Date: January 09, ; Published Date: Fistula between gall bladder and gastrointestinal tractus occurs anywhere for example stomach, duodenum, and colon.
Results of inflammatory reaction adhesion may be occur and between two organs and gall stone’s pressure may be contribute this process. After that fistula occurs. Fistula’s size is ranging from a few millimeters to centimeters.
Malignant tumors can cause fistula too [1,2]. Our case is of 42 years old female.
She was applied to us for cholecystectomy. Contracted chronic cholecystitis with gallstone is diagnosed in ultrasonographic examination. Laparoscopic cholecystectomy was intended for the patient, this was converted to open cholecystectomy because of the dense adhesions between gall bladder and duodenum.
Very dense adhesion is diagnosed between gall bladder and duodenum. For prevent injury of duodenum, wall of the gall bladder was incised on the duodenum so duodenum was separated from the gall bladder. After that fistula was visualized Figure 1. Cholecystectomy was done and fistula was sutured.
Cholecystoduodenal Fistula: A Case Report | Insight Medical Publishing
Omentoplasty was applied on the sutured fistula’s region. Pathologic examination result was benign. Preoperative diagnosis of the fistula may be impossible. Fistula is very important and complicated situations. Such cases may have very dense adhesions. Cholecystectomy and fistulotomy and repair of fistula cholecytoduodenal be done [ 1 – 3 ].
Cholecystoduodenal fistula | Radiology Reference Article |
All Published work is licensed fistjla a Creative Commons Attribution 4. January 16, Citation: Visit for more related articles at Journal of Universal Surgery.
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