Work

Combined Cholecystoenteric Fistula and Choledocholithiasis: A Report of a Rare Case

Year: 2024

Type: article

Abstract: Cholecystoenteric fistulas are a rare complication of chronic gallstone disease. If not diagnosed on time, they can cause several complications such as gallstone ileus, gastric outlet obstruction (Bouveret syndrome), cholangitis, or liver abscess. We present a case of a patient with chronic calculous cholecystitis, who was admitted due to unspecific abdominal discomfort and impaired liver function with increased cholestatic liver enzymes. We found a stone in the distal part of the common bile duct with the papilla orifice located in a duodenal diverticulum and a cholecystoduodenal fistula as an additional finding, which at that point was uncomplicated. After successful endoscopic therapy of the choledocholithiasis, the patient was referred for laparoscopic cholecystectomy and treatment of the fistula. During follow-up, the patient was in an excellent overall condition.

Source: Cureus

DOI: 10.7759/cureus.76608

Authors: Mila Kovacheva-Slavova, Victor Dimitrov, Plamen Gecov, Branimir Golemanov, Borislav Vladimirov

Institutions: Queen Giovanna Hospital, Medical University of Sofia

Language: English

Topic: Biliary and Gastrointestinal Fistulas

Subfield: Pulmonary and Respiratory Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W4405887457