scholarly journals Massive upper gastrointestinal bleeding: a rare complication of cholecystoduodenal fistula

2019 ◽  
Vol 12 (5) ◽  
pp. e228654 ◽  
Author(s):  
Dinesh Kumar Vadioaloo ◽  
Guo Hou Loo ◽  
Voon Meng Leow ◽  
Manisekar Subramaniam
Keyword(s):  
Rare Complication ◽  
Biliary Fistula ◽  
Duodenal Perforation ◽  
Biliary Disease ◽  
Peptic Ulcers ◽  
Enteric Fistula ◽  
Cholecystoduodenal Fistula ◽  
Superficial Branch ◽  
Biliary Enteric Fistula ◽  
Upper Gastrointestinal

A biliary fistula which may occur spontaneously or after surgery, is an abnormal communication from the biliary system to an organ, cavity or free surface. Spontaneous biliary-enteric fistula is a rare complication of gallbladder pathology, with over 90% of them secondary to cholelithiasis. Approximately 6% are due to perforating peptic ulcers. Symptoms of biliary-enteric fistula varies widely and usually non-specific, mimicking any chronic biliary disease. Cholecystoduodenal fistula causing severe upper gastrointestinal (UGI) bleed is very rare. Bleeding cholecystoduodenal fistula commonly requires surgical resection of the fistula and repair of the duodenal perforation. We describe the case of a previously healthy older patient who initially presented with symptoms suggestive of UGI bleeding. Bleeding could not be controlled endoscopically. When a laparotomy was performed, a cholecystoduodenal fistula was discovered and bleeding was noted to originate from the superficial branch of cystic artery.

Choledochoduodenal fistula secondary to duodenal peptic ulcer

1997 ◽  
Vol 38 (6) ◽  
pp. 1007-1009
Author(s):  
U. Topal ◽  
G. Savci ◽  
M. Y. Sadikoglu ◽  
E. Tuncel
Keyword(s):  
Peptic Ulcer ◽  
Gallbladder Disease ◽  
Enteric Fistula ◽  
Barium Study ◽  
Cholecystoduodenal Fistula ◽  
Rare Form ◽  
Ulcer Disease ◽  
Choledochoduodenal Fistula ◽  
Biliary Enteric Fistula ◽  
Upper Gastrointestinal

Spontaneous choledochoduodenal fistula (CDDF) is a rare form of biliary enteric fistula which usually occurs as a complication of duodenal peptic ulcer disease. the more common form is cholecystoduodenal fistula (CCDF) which is generally associated with gallbladder disease. We report on a case of ulcerogenic CDDF diagnosed by upper gastrointestinal barium study, ultrasonography, and gastroduodenal endoscopy

scholarly journals A Rare complication of Cholelithiasis: Cholecystocolic Fistula – Case Report

Med Phoenix ◽  
2021 ◽  
Vol 6 (1) ◽  
pp. 53-55
Author(s):  
Anup Shrestha ◽  
Abhishek Bhattarai ◽  
Kesh Maya Gurung ◽  
Manoj Chand
Keyword(s):  
Case Report ◽  
Standard Treatment ◽  
Rare Complication ◽  
Open Cholecystectomy ◽  
Common Finding ◽  
Enteric Fistula ◽  
Cholecystoduodenal Fistula ◽  
Biliary Enteric Fistula ◽  
Cholecystocolic Fistula

Although the pre-operative diagnosis of the cholecystocolic fistula has been reported, yet it is by no means a common finding. Cholecystocolic fistula is the second most type of biliary enteric fistula after cholecystoduodenal fistula. Cholecystogastric fistula is least commonly reported. We report our experience with cholecystocolic fistula discovered on imaging which was subsequently confirmed through surgery. The standard treatment for CCF is open cholecystectomy and closure of the fistula. Failure to identify preoperatively or intra-operatively can lead to various complications.      

scholarly journals Laparoscopic Treatment of Gallstone Ileus

2014 ◽  
Vol 7 ◽  
pp. CCRep.S16512 ◽  
Author(s):  
Huseyin Y. Bircan ◽  
Bora Koc ◽  
Umit Ozcelik ◽  
Ozgur Kemik ◽  
Alp Demirag
Keyword(s):  
Intestinal Obstruction ◽  
Bowel Obstruction ◽  
Intestinal Tract ◽  
Rare Complication ◽  
Gallstone Ileus ◽  
High Morbidity ◽  
Enteric Fistula ◽  
Laparoscopic Treatment ◽  
Mechanical Bowel Obstruction ◽  
Biliary Enteric Fistula

Gallstone ileus is a rare complication of cholelithiasis that has high morbidity and mortality. An intestinal obstruction can be caused by migration of a large gallstone through a biliary enteric fistula or by impaction within the intestinal tract. In this study, we present the case of an 81-year-old woman with a mechanical bowel obstruction by a gallstone that was treated by laparoscopy.

scholarly journals An Unusual Presentation of Cholecystoduodenal Fistula: Abdominal Pain out of Proportion to Exam

2019 ◽  
Vol 3 (3) ◽  
pp. 305-306
Author(s):  
Ryan McCreery ◽  
Matthew Meigh
Keyword(s):  
Abdominal Pain ◽  
Multimodality Imaging ◽  
Rare Complication ◽  
Gallbladder Disease ◽  
Final Diagnosis ◽  
Cholecystoduodenal Fistula ◽  
Case Presentation ◽  
History Of ◽  
Biliary Enteric Fistula ◽  
Specific Symptoms

Cholecystoduodenal fistula (CDF) is a rare complication of gallbladder disease. Clinical presentation is variable, and preoperative diagnosis is challenging due to the non-specific symptoms of CDF. We discuss a 61-year-old male with a history of atrial fibrillation who presented with severe abdominal pain out of proportion to exam. The patient was diagnosed promptly and successfully managed non-operatively. This case presentation emphasizes the need to maintain a broad differential diagnosis for abdominal pain out of proportion to exam, with the possibility of a biliary-enteric fistula as a possible cause. It also stresses the importance of a multimodality imaging approach to arrive at a final diagnosis.

scholarly journals Laparoscopic Management of Bouveret’s Syndrome after Failed Endoscopic Approach

2019 ◽  
Vol 2019 ◽  
pp. 1-4
Author(s):  
Ariel Nicolas Tchercansky ◽  
Guido Luis Busnelli ◽  
Matías Mihura ◽  
Rafael José Maurette
Keyword(s):  
Laparoscopic Surgery ◽  
Outlet Obstruction ◽  
Enteric Fistula ◽  
Endoscopic Removal ◽  
Cholecystoduodenal Fistula ◽  
Bouveret’S Syndrome ◽  
Rare Presentation ◽  
Unsuccessful Attempt ◽  
Biliary Enteric Fistula ◽  
Bouveret's Syndrome

Bouveret’s syndrome is a complication of cholelithiasis that presents with gastric outlet obstruction due to an impacted gallstone in the duodenum following cholecystoduodenal fistula. This is a rare presentation of biliary-enteric fistula; therefore, there are no standardized guidelines for the management of this disease. We present a case of a patient with Bouveret’s syndrome managed with laparoscopic surgery after an unsuccessful attempt of endoscopic removal.

scholarly journals Double Incomplete Internal Biliary Fistula: Coexisting Cholecystogastric and Cholecystoduodenal Fistula

2016 ◽  
Vol 2016 ◽  
pp. 1-3 ◽  
Author(s):  
Kemal Beksac ◽  
Arman Erkan ◽  
Volkan Kaynaroglu
Keyword(s):  
Biliary Tract ◽  
Endoscopic Retrograde Cholangiopancreatography ◽  
Rare Complication ◽  
Biliary Fistula ◽  
Single Patient ◽  
Cholecystoduodenal Fistula ◽  
Endoscopic Retrograde ◽  
Surgical Disease ◽  
First Case ◽  
Internal Biliary Fistula

Internal biliary fistula is a rare complication of a common surgical disease, cholelithiasis. It is seen in 0.74% of all biliary tract surgeries and is thought to be a result of repeated inflammatory periods of the gallbladder. In this report we present a case of incomplete cholecystogastric and cholecystoduodenal fistulae in a single patient missed by ultrasonography and endoscopic retrograde cholangiopancreatography and diagnosed intraoperatively. In the literature there is only one report of an incomplete cholecystogastric fistula. To our knowledge this is the first case of double incomplete internal biliary fistulae.

scholarly journals Concurrent cholecystoduodenal fistula and primary aortoenteric fistula

2021 ◽  
Vol 2021 (10) ◽  
Author(s):  
Mohammadali Zad ◽  
Cuong N Do ◽  
Andrew Teo ◽  
Eliza Dixon ◽  
Christine Welch ◽  
...  
Keyword(s):  
Gastrointestinal Bleeding ◽  
Upper Gastrointestinal Bleeding ◽  
Rare Complication ◽  
Disease State ◽  
Aortoenteric Fistula ◽  
Cholecystoduodenal Fistula ◽  
Diagnostic Challenge ◽  
Ascending Cholangitis ◽  
Life Threatening ◽  
Upper Gastrointestinal

ABSTRACT Bilioenteric fistulae are a rare complication and can pose a diagnostic challenge owing to non-specific symptomology. When occurring with an aortoenteric fistula, it represents a rare and potentially life-threatening disease state. We present the case of a 77-year-old gentleman initially treated as presumed ascending cholangitis. This was complicated by upper gastrointestinal bleeding secondary to an aortoenteric fistula and cholecystoduodenal fistula.

scholarly journals Massive hemobilia caused by rupture of gastroduodenal artery pseudoaneurysm, a delayed complication of laparoscopic cholecystectomy: a case report

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Kurniawan Kurniawan ◽  
I Dewa Nyoman Wibawa ◽  
Gde Somayana ◽  
I Ketut Mariadi ◽  
I Made Mulyawan
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Gastrointestinal Bleeding ◽  
Abdominal Trauma ◽  
Upper Gastrointestinal Bleeding ◽  
Rare Complication ◽  
Gastroduodenal Artery ◽  
Time Interval ◽  
Artery Pseudoaneurysm ◽  
History Of ◽  
Upper Gastrointestinal

Abstract Background Hemobilia is a rare cause of upper gastrointestinal bleeding that originates from the biliary tract. It is infrequently considered in diagnosis, especially in the absence of abdominal trauma or history of hepatopancreatobiliary procedure, such as cholecystectomy, which can cause arterial pseudoaneurysm. Prompt diagnosis is crucial because its management strategy is distinct from other types of upper gastrointestinal bleeding. Here, we present a case of massive hemobilia caused by the rupture of a gastroduodenal artery pseudoaneurysm in a patient with a history of laparoscopic cholecystectomy 3 years prior to presentation. Case presentation A 44-year-old Indonesian female presented to the emergency department with complaint of hematemesis and melena accompanied by abdominal pain and icterus. History of an abdominal trauma was denied. However, she reported having undergone a laparoscopic cholecystectomy 3 years prior to presentation. On physical examination, we found anemic conjunctiva and icteric sclera. Nonvariceal bleeding was suspected, but esophagogastroduodenoscopy showed a blood clot at the ampulla of Vater. Angiography showed contrast extravasation from a gastroduodenal artery pseudoaneurysm. The patient underwent pseudoaneurysm ligation and excision surgery to stop the bleeding. After surgery, the patient’s vital signs were stable, and there was no sign of rebleeding. Conclusion Gastroduodenal artery pseudoaneurysm is a rare complication of laparoscopic cholecystectomy. The prolonged time interval, as compared with other postcholecystectomy hemobilia cases, resulted in hemobilia not being considered as an etiology of the gastrointestinal bleeding at presentation. Hemobilia should be considered as a possible etiology of gastrointestinal bleeding in patients with history of cholecystectomy, regardless of the time interval between the invasive procedure and onset of bleeding.

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