Cholecystoduodenal fistula, an infrequent complication of cholelithiasis: Our experience in its surgical management

Aguilar-Espinosa, Francisco; Maza-Sánchez, R.; Vargas-Solís, F.; Guerrero-Martínez, Gustavo A.; Medina-Reyes, J.L.; Flores-Quiroz, P.I.

doi:10.1016/j.rgmxen.2017.07.015

Cited by 17 publications

(25 citation statements)

References 16 publications

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“…Persistent erosion and necrosis of the gallbladder wall causes inflammation. This inflammation then spreads to the adjacent adherent intestinal segment close to the site of the impacted gallstone; leading to formation of a fistula [10,11,12,13]. Typically, when the size of the stone exceeds the calibre of the bowel lumen, the stone gets impacted.…”

Section: Discussionmentioning

confidence: 99%

“…Other locations include the duodenum (Bouveret Syndrome), proximal ileum, jejunum, stomach or colon [10,15,16]. Gallstone ileus most commonly manifests itself in the form of bowel obstruction [17,10,11,14]. Mechanical bowel obstruction secondary to gallstones is a rare manifestation of biliary disease occurring in 0.3-1.5% cases of cholelithiasis [18].…”

Section: Discussionmentioning

confidence: 99%

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A Rare Case of Large Impacted Stone in Jejunum Causing Obstruction in a Patient of Gallstone Ileus

et al. 2020

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

A Rare Case of Large Impacted Stone in Jejunum Causing Obstruction in a Patient of Gallstone Ileus

et al. 2020

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“…33 The incidence of a cholecystoduodenal fistula is reported to occur during 0.29% to 0.42% of cholecystectomy procedures. 34,35 The most common cause of cholecystoduodenal fistula is a gallstone. 36 A fistula is often diagnosed during surgery.…”

Section: Discussionmentioning

confidence: 99%

A Ruptured Cystic Artery Pseudoaneurysm with Concurrent Cholecystoduodenal Fistula: A Case Report and Literature Review

Kim

et al. 2018

Korean J Helicobacter Up Gastrointest Res

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Pseudoaneurysms of the cystic artery and cholecystoduodenal fistula formation are rare complications of cholecystitis and either may result from an inflammatory process in the abdomen. A 68-year-old man admitted with acute cholecystitis subsequently developed massive upper gastrointestinal (GI) bleeding. Abdominal computed tomography showed acute calculous cholecystitis and hemobilia secondary to bleeding from the cystic artery. Angiography suggested a ruptured pseudoaneurysm of the cystic artery. Upper GI endoscopy showed a deep active ulcer with an opening that was suspected to be that of a fistula at the duodenal bulb. The patient was managed successfully with multimodality treatment that included embolization followed by elective laparoscopic cholecystectomy. Presently, there is no clear consensus regarding the clinical management of this disease. We have been able to confirm various clinical features, diagnoses, and treatments of this disease through a literature review. A multidisciplinary approach through interagency/interdepartmental collaboration is necessary for better management of this disease. (Korean J Helicobacter

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“…Aguilar-Espinosa et al have proposed that a biliary fistula should be considered in elderly patients with a contracted gallbladder and numerous adhesions [12]. Of the recent publications on the topic of biliary fistula, computed tomography (CT) and MR cholangiography (MRCP) have been utilized to identify these abnormal connections [13]. Once identified, whether pre-operatively or intra-operatively, the recommended surgical plan is for cholecystectomy and fistulotomy with repair of the fistula [14].…”

Section: Introductionmentioning

confidence: 99%

One Hole, Two Tubes, and a Tijuana Pathology Report: A Case Report of Cholecystoduodenal Fistula Mistaken for Gallbladder Cancer

Jreije

Steen

Jones

et al. 2020

Cureus

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We report a case of a patient who presented with biliary colic while in Tijuana, Mexico. Laparoscopic cholecystectomy was attempted but abandoned and only a biopsy of the gallbladder was performed with pathologist reporting gallbladder adenocarcinoma. Upon return to the United States, extensive evaluation was undertaken including imaging, biopsy, and ultimately two separate exploratory surgeries revealing no neoplasm. Only at the second surgical exploration did we discover a benign cholecystoduodenal fistula successfully treated with completion fenestration cholecystectomy, pyloric exclusion, loop gastrojejunostomy, and duodenostomy tube through the gallbladder remnant into the fistula itself. This is a unique surgical treatment of a rare problem made even more confusing by an erroneous pathology report from another country.

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Cholecystoduodenal fistula, an infrequent complication of cholelithiasis: Our experience in its surgical management

Cited by 17 publications

References 16 publications

A Rare Case of Large Impacted Stone in Jejunum Causing Obstruction in a Patient of Gallstone Ileus

A Rare Case of Large Impacted Stone in Jejunum Causing Obstruction in a Patient of Gallstone Ileus

A Ruptured Cystic Artery Pseudoaneurysm with Concurrent Cholecystoduodenal Fistula: A Case Report and Literature Review

One Hole, Two Tubes, and a Tijuana Pathology Report: A Case Report of Cholecystoduodenal Fistula Mistaken for Gallbladder Cancer

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