1.Spontaneous cholecysto-antral-cutaneous fistula: a consequence of neglected calculus cholecystitis.
Vikas GUPTA ; Sudeep BENERJEE ; Harsh GARG ; Sameer VYAS
Singapore medical journal 2012;53(10):e201-3
A biliary fistula from the gallbladder can develop as a result of the erosion of stones into the surrounding viscera. An 82-year-old woman with multiple comorbid diseases presented with a persisting discharge from what was thought to be an abscess in the right hypochondrium, which had previously been drained. Sinogram confirmed fistulous communication with the gallbladder and gastric antrum. The fistulous tract was excised together with the gallbladder, and the gastric defect was repaired. The patient made an uneventful recovery.
Aged, 80 and over
;
Biliary Fistula
;
diagnosis
;
etiology
;
pathology
;
Cholecystitis
;
complications
;
diagnosis
;
pathology
;
Cutaneous Fistula
;
diagnosis
;
pathology
;
Diagnosis, Differential
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Female
;
Gastric Fistula
;
diagnosis
;
etiology
;
pathology
;
Humans
;
Pyloric Antrum
;
pathology
2.A Case of Choledochoduodenal Fistula as a Delayed Complication after Biliary Metallic Stent Placement in Distal Cholangiocarcinoma.
Seol Kyung MOON ; Dae Young CHEUNG ; Ji Hun KIM ; Eun Joo IM ; Jick Hwan HA ; Jin Il KIM ; Soo Heon PARK ; Jae Kwang KIM
The Korean Journal of Gastroenterology 2008;51(5):314-318
Biliary drainage in patients with malignant biliary obstruction relieves jaundice and prevents the development of cholangitis or hepatic failure from biliary obstruction. Therefore, this may result in better quality of life along with survival prolongation. Biliary stent placement is an effective and safe measure for biliary decompression and is preferred than bypass surgery in high risk patients. Entero-biliary perforation-communication is one of the rare complications of biliary stent. We herein report a case of duodeno-biliary perforation-communication in patient with distal cholangiocarcinoma who presented with duodenal ulcer and obstruction, occurring 4 years later from the metallic biliary stent insertion. Patient was managed with a pyloric metal stent and conservative care.
Aged, 80 and over
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Bile Duct Neoplasms/complications/*diagnosis
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Bile Ducts, Intrahepatic/pathology
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Biliary Fistula/*diagnosis/etiology/pathology
;
Cholangiocarcinoma/complications/*diagnosis
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Duodenal Diseases/*diagnosis/etiology/pathology
;
Female
;
Humans
;
Intestinal Fistula/*diagnosis/etiology/pathology
;
Stents/*adverse effects
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Tomography, X-Ray Computed