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 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.

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 BOUVERET'S SYNDROME WITH SPONTANEOUSLY CLOSED BILIARY-ENTERIC FISTULA-A CASE REPORT-

2008 ◽  
Vol 69 (5) ◽  
pp. 1186-1190 ◽  
Author(s):  
Akinobu FURUTANI ◽  
Osamu KINOSHITA ◽  
Hiroaki NAGATA ◽  
Susumu NAKASHIMA ◽  
Kenichirou FUKUDA ◽  
...  
Keyword(s):  
Case Report ◽  
Enteric Fistula ◽  
Bouveret’S Syndrome ◽  
Biliary Enteric Fistula ◽  
Bouveret's Syndrome

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.

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 Conservative treatment for Brucella testicular abscesses: A case report and literature review

2015 ◽  
Vol 9 (9-10) ◽  
pp. 679 ◽  
Author(s):  
Sakher Tahaineh ◽  
Rawan Abu Mughli ◽  
Hanan I Hakami ◽  
Mohamad I Al-Faham
Keyword(s):  
Infectious Disease ◽  
Case Report ◽  
Conservative Treatment ◽  
Literature Review ◽  
Medical Therapy ◽  
Standard Treatment ◽  
Rare Complication ◽  
Causative Pathogen ◽  
History Of

Brucellosis is a multi-organ infectious disease that can cause genitourinary manifestations. The most common genitourinary manifestation is orchitis; however, intratesticular abscesses are a rare complication. Although surgery is the standard treatment for intratesticular abscesses, medical therapy alone can be successful. We report the case of a 36-year-old man with multiple testicular abscesses caused by relapse of systemic brucellosis. The patient presented after a history of treated systemic brucellosis with left testicular swelling and pain. An ultrasound showed multiple small testicular abscesses, and the repeat diluted brucella titer demonstrated the causative pathogen. The patient was successfully treated with 3 months of oral targeted antibiotics, with no need for drainage or orchiectomy.

scholarly journals Bilioenteric Fistula - Not any more a contraindication for Laparoscopic Cholecystectomy

2015 ◽  
Vol 3 (1) ◽  
pp. 7-8 ◽  
Author(s):  
Samiron Kumar Mondal ◽  
Sharmistha Roy
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Rare Complication ◽  
Fistulous Tract ◽  
Tertiary Care ◽  
Cholecystoduodenal Fistula ◽  
Intracorporeal Suturing ◽  
Open Operation ◽  
Cholecystoenteric Fistula ◽  
Increased Risk ◽  
Cholecystocolic Fistula

Background: Bilioenteric fistulas include cholecystoduodenal fistula, cholecystocolic fistula, and cholecystogastric fistula. They are known but rare complication of cholecystitis. Previously presence of any cholecystoenteric fistula was an indication to convert laparoscopic cholecystectomy to open operation1. But with time and experience new techniques, new technology and expertise has developed in the laparoscopic field and now the scenario is changed. This is our experience in a tertiary care diabetic hospital where we encountered 21 cases of cholecystoenteric fistula during laparoscopic cholecystectomy over a period of 2 years. Our series: From January 2013 to January 2015 we performed 1191 cases of laparoscopic cholecystectomy in our unit. We encountered 12 cases of cholecystoduodenal fistula, 7 cases of cholecystocolic fistula and 2 cases of cholecystogastric fistula. All cases were diagnosed during laparoscopy, and were dealt with laparoscopy. Intracorporeal suturing was used in all cases.Observation: Successful per operative diagnosis requires suspicion and careful adhesiolysis in all cases. Avoiding conversion to open operation reduces hospital stay, pain, wound infection and chest complications associated with upper abdominal incision. As the fistulous tract is usually near the fundus and far away from Callots there is not much increased risk of common bile duct injury.Conclusion: Cholecystoenteric fistulas can now safely be managed laparoscopically in advanced centers by experienced surgeon.Bangladesh Crit Care J March 2015; 3 (1): 7-8

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.

NICOLAU SYNDROME DUE TO INTRAMUSCULAR DICLOFENAC SODIUM INJECTION

2020 ◽  
Vol 4 (2) ◽  
Author(s):  
Harris I Shaafie ◽  
Soumya Agarwal ◽  
Swosti Mohanty ◽  
Chandni Jain
Keyword(s):  
Standard Treatment ◽  
Rare Complication ◽  
Diclofenac Sodium ◽  
Tissue Necrosis ◽  
Cytotoxic Effects ◽  
Direct Damage ◽  
Nicolau Syndrome ◽  
Syndrome Diagnosis ◽  
Embolia Cutis Medicamentosa ◽  
Pigmentary Pattern

Nicolau syndrome (NS) is a rare complication characterized by tissue necrosis that occurs after parenteral injection of drugs. The exact pathogenesis is uncertain, but there are several hypotheses, including direct damage to the end artery, acute vasospasm and cytotoxic effects of the drug. Severe pain in the immediate post injection period and purplish discoloration of the skin with reticulate pigmentary pattern is characteristic of this syndrome. Diagnosis is mainly clinical and there is no standard treatment for the disease. Herein, we present a rare case of NS due to Diclofenac Sodium (Voltaren®) injection in an 80-year-old female suffering from Lower Respiratory Tract Infection (LRTI) who was managed conservatively. Keywords: Nicolau Syndrome, Embolia cutis medicamentosa, Voltaren, Diclofenac sodium

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