AI Article Synopsis

  • Cholecystogastric fistulas are uncommon complications of gallstones that create challenges in diagnosis and surgical treatment.
  • A case of a 35-year-old woman revealed a cholecystogastric fistula during laparoscopic cholecystectomy, successfully treated through open surgery with fistula repair.
  • While open surgery is generally preferred for these cases, laparoscopic techniques are increasingly used with positive outcomes, although preoperative diagnosis remains tricky due to vague symptoms.

Article Abstract

Cholecystogastric fistulas is a rare complication of gallstone. Even if well described in the literature, this condition still poses a debate on diagnosis and surgical treatment. We present a case of a 35 year's old female which unexpectedly presented a cholecystogastric fistula during a laparoscopic cholecystectomy, treated successfully with fistula transection and repair and cholecystectomy through an open access. The open access remains the preferable option in this cases but laparoscopic techniques are being used worldwide with increasing success. The preoperative diagnosis remains difficult for the unspecific symptoms. KEY WORDS: Biliodigestive Fistula, Gallstone Ileus, Gastric Fistula, Biliary Fistula, Cholecystitis.

Download full-text PDF

Source

Publication Analysis

Top Keywords

cholecystogastric fistula
8
open access
8
fistula
5
fistula case
4
case report
4
report literature
4
literature review
4
review cholecystogastric
4
cholecystogastric fistulas
4
fistulas rare
4

Similar Publications

Introduction: Cholecysto-gastric fistula is a rare, life-threatening complication of cholelithiasis that presents significant challenge to surgeons. Early diagnosis can be obtained and surgical intervention can be planned as elective case. Dilemma comes when patient presenting with acute acute abdominal symptoms necessitating immediate surgery, decision-making becomes more complex increasing morbidity and mortality.

View Article and Find Full Text PDF

Bouveret's syndrome (BS) represents an exceedingly rare clinical entity characterized by gastric outlet obstruction induced by a gallstone passing through a cholecystoduodenal, cholecystogastric or choledochoduodenal fistula and impacting in the duodenum or pylorus. Endoscopy is the preferred first-line therapy. It has a favorable safety profile, but requires high level of expertise to achieve stone clearance.

View Article and Find Full Text PDF

Cholecystogastric fistula: A case report and review of the literature.

Int J Surg Case Rep

September 2024

General Surgery Resident, Department of Surgery, Dr. Suliman Alhabib Medical Group, Riyadh, Saudi Arabia.

Introduction: Cholecystogastric fistula is an abnormal communication between the gallbladder and the stomach, it is a rare complication of chronic cholethiasis. Preoperative diagnosis is difficult as patients often present with non-specific symptoms.

Case Presentation: A 63-year-old female presented to the outpatient clinic with symptomatic cholelithiasis.

View Article and Find Full Text PDF
Article Synopsis
  • Gallstone ileus is a rare problem that happens when a gallstone creates an opening between the gallbladder and the intestines, causing a type of obstruction in the bowel.
  • A 54-year-old man had serious stomach issues, like pain and vomiting, and after some treatment, he had a surgery that found a gallstone blocking his intestines.
  • The case shows that gallstone problems can be tricky to diagnose and treat, especially in people with sudden stomach issues.
View Article and Find Full Text PDF

Management of complicated Bouveret's syndrome.

BMJ Case Rep

June 2024

Medical Gastroenterology, Dr D Y Patil Medical College, Hospital and Research Center, Dr D Y Patil Vidyapeeth (Deemed to be University), Pune, Maharashtra, India

Bouveret's syndrome is an uncommon cause of gastric outlet obstruction caused by the impaction of large gallstones in the duodenal lumen. The gallstones pass into the duodenal lumen through a cholecystogastric or a cholecystoduodenal fistula. Endoscopic retrieval with or without lithotripsy is the first line of management, often with variable success.

View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!