AI Article Synopsis

  • Cholecystoenteric fistulae are uncommon complications that occur in about 0.5% to 0.9% of patients who undergo cholecystectomy due to gallstone disease.
  • The most frequent type is a cholecystoduodenal fistula, followed by a cholecystocolonic fistula.
  • The paper discusses a unique case involving both fistula types leading to pneumobilia, which was treated through laparoscopic subtotal cholecystectomy and open repair of the fistulae, highlighting the need for careful planning and skilled surgery for such rare cases.

Article Abstract

Cholecystoenteric fistulae are rare complications of gallstone disease, with a reported incidence of 0.5% to 0.9% of cholecystectomies. Cholecystoduodenal is the most common fistula followed by cholecystocolonic fistulae. We report a case of pneumobilia resulting from a combined cholecystoduodenal and cholecystocolonic fistulae treated with a laparoscopic subtotal cholecystectomy and open repair of the enteric fistulae. Combined cholecystoduodenal and cholecystocolonic fistulae are an extremely rare complication of gallstone disease, and meticulous preoperative planning and operative dexterity are needed to safely manage these unusual fistulae.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11469931PMC
http://dx.doi.org/10.1155/2024/1084775DOI Listing

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