A Rare Spontaneous Gastrobiliary Fistula

Abstract

We report the case of a 69-year-old man with a spontaneous gastrobiliary fistula. Internal biliary fistulas are usually the result of longstanding, untreated choledocholithiasis, cholecystolithiasis, peptic ulcers or rarely neoplasia. This patient’s unspecific clinical picture led to a late diagnosis, which was made during surgery.How to cite this article: Chwiesko A, Jurkowska G, Kedra B, Okulczyk B, Kamocki Z, Dabrowski A. A Rare Spontaneous Gastrobiliary Fistula. Euroasian J Hepato-Gastroenterol 2014;4(2):101-103.

Choledocho-gastric fistula due to chronic peptic ulcer with gastric outlet obstruction and pneumobilia

“…Choledocho-gastric fistula has not been reported as a cause for pneumobilia 1 2. One case of choledochogastric fistula as an acute complication of peptic ulcer perforation has been reported in a 69-year-old man, wherein an antrectomy and fistula resection were performed 3. In our case, the biliary–gastric communication had occurred in a setting of chronic peptic ulcer disease with gastric outlet obstruction.…”

A Rare Case of Spontaneous Gastrobiliary Fistula Diagnosed by Oral Contrast-enhanced Ultrasound

“…are even more rare [1], the pathogenesis of which has not yet been clarified. Notably, the flow of bile into the stomach through a fistula can cause gastric cancer [6,7]; therefore, it is important to make a clear diagnosis in time.…”

“…G astrobiliary fistulas are quite rare. There were only a few cases reported by different centers [1][2][3][4]. Spontaneous gastrobiliary fistulas are rarer.…”