Computed tomography demonstration of cholecystogastric fistula

Chou, Chung Kuao

doi:10.1016/j.radcr.2016.02.005

Cited by 10 publications

(11 citation statements)

References 10 publications

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“…The diagnosis is mainly based on imaging tests [5] Ultrasound and CT are sensitive to make the diagnosis in more than 90% of the cases, and to direct to the etiology [5] Computed tomography features of a bilioenteric fistula include pneumobilia, the joining of the two organs with an edematous wall, pericholecystic infiltration, gallstones in the gastrointestinal tract, and intestinal distension. A clear delineation of the fistulous tracts on cross-sectional scans is usually difficult to achieve because of the irregular routes of the fistulas [2]. In this report, the gallbladder and stomach were not closely adhered together, and the wall was neither edematous nor thickened.…”

Section: Discussionmentioning

confidence: 57%

“…Cholecystogastric fistula is a rare complication of chronic cholecystitis or chronic cholelithiasis. It results from progressive erosion of the chronically inflamed wall of the gallbladder and stomach with subsequent formation of fistulas [1,2]. Bilio-enteric communications leading to the formation of hepatic abscesses are rare and are therefore not easily diagnosed [3].…”

Section: Introductionmentioning

confidence: 99%

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Liver Abscess Caused by Citrobacter Freundii Secondary to Cholecysto-antral Fistula: A Case Report

Hajri

Lafkih

Erguibi

et al. 2020

EJMED

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Liver abscesses secondary to bilio-enteric fistulas are rare and therefore unknown to the attending physician. In this report, we present a bilio-enteric communication, between the gallbladder; which was macro lithiasic; and the stomach revealed by an upper digestive hemorrhage in a septic context in a 34 year old man. A pyogenic bacterial liver abscess developed because of the fistula without biliary obstruction. The patient was treated surgically with disconnection of the fistula and drainage of the abscess. The liver abscess is probably due to the contamination of the bile by the cholecysto-gastric fistula. The germ isolated was a citrobacter freundii which is rarely involved in liver abscesses.

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Section: Discussionmentioning

confidence: 57%

Section: Introductionmentioning

confidence: 99%

Liver Abscess Caused by Citrobacter Freundii Secondary to Cholecysto-antral Fistula: A Case Report

Hajri

Lafkih

Erguibi

et al. 2020

EJMED

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“…In our cases, the patients had prior knowledge of cholecystolithiasis and were not operated on. CT showed signs of pneumobilia, which indicated the existence of pathological communication between the biliary tree and the gastrointestinal tract [13,17,18]. Pneumobilia, gas in the gallbladder and cholecystoduodenal fistula, were also confirmed by the MRI and MRCP examination.…”

Section: Discussionmentioning

confidence: 99%

Spontaneous cholecystoduodenal fistula - spectrum of complications

et al. 2019

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Introduction Spontaneous cholecystoduodenal fistula is a rare complication of the gallbladder calculosis. Bowel obstruction is the complication in less than 1% of these patients. The pathognomonic triad (Rigler triad) of pneumobilia, small-bowel distention, and ectopic gallstones is typical for gallstone ileus. In only 1-3% of the patients with bowel obstruction by ectopic gallstone the localization of obstruction is in the duodenum, and it is called Bouveret syndrome. The rarest complication is a floating non-obstructing gallstone trapped in the stomach. Outline of cases We present three elderly female patients with persistent abdominal pain and known gallbladder calculosis in the patients' histories. Plain radiography of the thorax and abdomen and ultrasound were performed as the first choice and contrast-enhanced computer tomography (CT) was done subsequently. In the first patient, CT and magnetic resonance imaging (MRI) showed signs of pneumobilia, cholecystoduodenal fistula, and the presence of the gallstone in the stomach. The iodine contrast X-ray swallow test revealed a cholecysto-duodenal bulb fistula and floating calculus in the stomach, confirmed by endoscopy. In the second patient with persistent abdominal pain, CT and barium swallow test showed signs of pneumobilia, cholecystoduodenal fistula, and two ectopic gallstones obstructing duodenum-Bouveret syndrome. The third case showed signs of the Rigler triad-typical signs of gallstone ileus. Conclusion Spontaneous cholecystoduodenal fistula is a rare condition with possible complications such as Bouveret syndrome, gallstone ileus and floating, non-obstructive gallstones in the stomach, as the rarest possible complication. CT, MRI with magnetic resonance cholangiopancreatography, as well as the contrast X-ray swallow test can be very helpful in the detection of the bilio-enteric fistula and ectopic gallstones.

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“…Gallbladder stone disease is common; however, spontaneous internal biliary fistulae are uncommon . More than 90% of the fistulae communicate with the duodenum or colon, and the remaining 10% communicate with the stomach or jejunum or may have multiple communications . Gallstone ileus may occur if the stone passes into the small bowel via the fistula tract.…”

Section: Answer: Spontaneous Cholecystogastric Fistulamentioning

confidence: 99%

“…This condition is usually seen in the elderly with comorbid conditions. Repeated episodes of inflammation result in adhesion formation between the gallbladder and adjacent viscera . In such a situation, perforation of the gallbladder is usually localized and can lead to fistula formation.…”

Section: Answer: Spontaneous Cholecystogastric Fistulamentioning

confidence: 99%

An unusual gastric submucosal lesion

Yen

2019

Adv in Digestive Medicine

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Computed tomography demonstration of cholecystogastric fistula

Cited by 10 publications

References 10 publications

Liver Abscess Caused by Citrobacter Freundii Secondary to Cholecysto-antral Fistula: A Case Report

Liver Abscess Caused by Citrobacter Freundii Secondary to Cholecysto-antral Fistula: A Case Report

Spontaneous cholecystoduodenal fistula - spectrum of complications

An unusual gastric submucosal lesion

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