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Rare Case of a Combined Cholecystocolonic and Cholecystoduodenal Fistula Presenting With Pneumobilia.
Case Rep Surg
October 2024
Lane Regional Medical Center, Lane Surgery Group, 6300 Main Street, Zachary, Louisiana 70791, USA.
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.
A rare case of a cholecysto-duodenocolonic fistula secondary to cholelithiasis.
J Surg Case Rep
March 2024
Department of Surgery, Townsville University Hospital, Townsville 4814, Australia.
Internal biliary fistula is a rare but well-known complication of cholelithiasis. It is a notoriously challenging entity to diagnose and manage. Gallstones are often the causative factor in the formation of a cholecystoenteric fistula, with the most common internal biliary fistula being a cholecystoduodenal fistula followed by a cholecystocolonic fistula.
View Article and Find Full Text PDFThe management of a duodenal fistula involving the right hepatic duct: a rare case report.
Front Med (Lausanne)
February 2024
Department of Abdominal Surgery, Guiqian International General Hospital, Guiyang, China.
The formation of an internal fistula between the biliary system and the gastrointestinal tract is a rare condition with various etiologies, predominantly associated with recurrent chronic inflammation of the biliary system and tumors. Patients with this condition may lack specific clinical manifestations, presenting with symptoms such as abdominal pain, fever, jaundice, or may show no clinical signs at all. Common types of internal fistulas include cholecystoduodenal fistula, cholecystocolonic fistula, and choledochoduodenal fistula.
View Article and Find Full Text PDFCholecystoenteric fistula in a patient with advanced gallbladder cancer: A case report and review of literature.
World J Clin Cases
December 2023
Division of Hematology/Oncology, Department of Internal Medicine, Tri-Service General Hospital, National Defense Medical Center, Taipei 114, Taiwan.
Background: Cholecystoenteric fistula (CEF) involves the formation of a spontaneous anomalous tract between the gallbladder and the adjacent gastrointestinal tract. Chronic gallbladder inflammation can lead to tissue necrosis, perforation, and fistulogenesis. The most prevalent cause of CEF is chronic cholelithiasis, which rarely results from malignancy.
View Article and Find Full Text PDFCholecystocolonic fistula in exacerbated chronic cholecystitis: A case report.
Radiol Case Rep
February 2024
Radiology Unit, Department of Experimental and Clinical Medicine, "Magna Graecia" University, Catanzaro, Italy.
The cholecystocolonic fistula (CCF) is an atypical variant of biliary disease, and it is the second most common intestinal fistula after cholecystoduodenal fistula. Intraoperative diagnosis is frequent, which implies challenging surgical management, especially in patients, often aged, with comorbidities. The rarity of this condition, atypical and various presentation, diagnostic and management complexity, makes it a unique surgical entity.
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