Gallstone ileus is peculiar because it can take the form of a high intestinal obstruction followed by a low intestinal obstruction as the stone travels down the bowel. The verses of Zeta 1 describe this journey. For when it is a barrel-gall stone's fate Through duodenal wall to ulcerate Forthwith the lumen of that upper gut Is by that monstrous stone completely shut Causing obstructive symptoms most severe Like those occurring with the type one here, Then as the stone still further on doth slide Acuteness of the symptoms will subside And in proportion as they thus decrease There will ensue a time of bowel-peace And when in course of time the stone doth come Down to the narrow ileum Then will obstructive symptoms re-appear Resembling those described as type two here. Indefinite signs of intestinal obturation can be produced at successive levels before the stone is gripped firmly, and.
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Citation: Engin O. Cholecystoduodenal Fistula: A Case Report. J Univer Surg. Fistula between gall bladder and gastrointestinal tractus occurs anywhere for example stomach, duodenum, and colon. Results of inflammatory reaction adhesion may be occur and between two organs and gall stone's pressure may be contribute this process.
After that fistula occurs. Fistula's size is ranging from a few millimeters to centimeters. Malignant tumors can cause fistula too [1,2]. Our case is of 42 years old female. She was applied to us for cholecystectomy. Contracted chronic cholecystitis with gallstone is diagnosed in ultrasonographic examination. Laparoscopic cholecystectomy was intended for the patient, this was converted to open cholecystectomy because of the dense adhesions between gall bladder and duodenum.
Very dense adhesion is diagnosed between gall bladder and duodenum. For prevent injury of duodenum, wall of the gall bladder was incised on the duodenum so duodenum was separated from the gall bladder. After that fistula was visualized Figure 1. Cholecystectomy was done and fistula was sutured. Omentoplasty was applied on the sutured fistula's region. Pathologic examination result was benign.
Preoperative diagnosis of the fistula may be impossible. Fistula is very important and complicated situations. Such cases may have very dense adhesions. Cholecystectomy and fistulotomy and repair of fistula must be done [ 1 - 3 ].
Author Guidelines Submit Manuscript. Visit for more related articles at Journal of Universal Surgery. Keywords Our case is of 42 years old female. Select your language of interest to view the total content in your interested language. Tweets by UniversalSurgry. Share This Article. Post your comment.
Cholecystoduodenal Fistula With and Without Gallstone Ileus
Cholecystoduodenal fistula refers to a fistulous connection between the gallbladder and the duodenum. It is considered the most common type of enterobiliary fistulation. CT is considered more accurate than ultrasound 2 and allows direct visualization of a tract between the gallbladder and the duodenum. Pneumobilia may be present as a result 6. According to several papers, laparoscopic cholecystectomy is often successfully performed in these cases Please Note: You can also scroll through stacks with your mouse wheel or the keyboard arrow keys.
Citation: Engin O. Cholecystoduodenal Fistula: A Case Report. J Univer Surg. Fistula between gall bladder and gastrointestinal tractus occurs anywhere for example stomach, duodenum, and colon. Results of inflammatory reaction adhesion may be occur and between two organs and gall stone's pressure may be contribute this process. After that fistula occurs. Fistula's size is ranging from a few millimeters to centimeters.