Cholecysto - Duodeno - Colic Fistula : Report of One Case.
- Author:
Chan Sup SHIM
;
Joon Seong LEE
;
Moon Sung LEE
;
Joo Young CHO
;
Young Deok CHO
;
Young Hong LEE
;
Hyung Keun BONG
;
Jin Oh KIM
;
Yun Soo KIM
;
Seong Gyu HWANG
;
Joo Ho HWANG
- Publication Type:Case Report
- Keywords:
Cholecysto - enteric fistula;
Cholecysto - duodeno - colic fistula
- MeSH:
Abdomen;
Aged;
Barium;
Biliary Tract;
Catheterization;
Colic*;
Colonoscopy;
Diagnosis;
Dyspepsia;
Fistula*;
Gallstones;
Humans;
Nausea;
Peptic Ulcer;
Vomiting
- From:Korean Journal of Gastrointestinal Endoscopy
1996;16(5):801-806
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Biliary-enteric fistula is in 0.5% to 5% of patients undergoing biliary tract surgery. The most common cause of biliary-enteric fistula is gallstones and their complications, Much less common causes are complieation of peptic ulcer, malignancy, trauma, and rarely, Crohns, disease. The most common type of biliary-enteric fistula is cholecysto-duadenal. Cholecysto-colic, cholecysto-gastric, and choledocho-duodenal fistula are reported much less frequently. The combination of cholecysto-duodenal fistula with cholecysto-colic fistula is a very rare. Symptoms are generally nonspecific, so diagnosis has depended on plain film of abdomen and barium studies. Recently, endoscopic examination and cannulation of the fistula for precise radiographic delineation will help to make a diagnosis. A 78-year-old man was admitted our hospital because of epigastric discomfort, indigestion, nausea and vomiting for 10 days. He was confirmed as cholecysto-duodeno-colic fistula by gastroduodenoscopy, colonoscopy, and endoscopic cholangio-graphic techniques. So, we report a case of cholecysto-duodeno-colic fistula of the patient with a review of relevant literatures.
