Accidental discovery of cholecystoduodenal fistula during laparoscopic cholecystectomy: a case report
Year: 2025
Type: article
Study design: Case Report
Abstract: Cholecystoduodenal fistula (CDF) is a rare complication of cholelithiasis. Sometimes, a preoperative examination does not fully detect CDF and may have an impact on the conduct of the surgery. Sometimes, clinicians fail to accurately determine the presence of CDF, which may have an impact on the conduct of the procedure. Here, we report the diagnosis and management of a patient with a CDF that was accidentally detected intraoperatively. The patient was hospitalized twice in our hospital due to excessive inflammation around the gallbladder and combined with choledochal stones. During the second hospitalization, a CDF was accidentally found during laparoscopic cholecystectomy. We repaired the fistula, ligated the cystic duct, and removed the gallbladder laparoscopically while ensuring patient safety. In the absence of preoperative detection of a cholecystoenteric fistula (CEF), intraoperative judgment and postoperative management are of particular importance, which is what will be discussed in this article.
Source: Frontiers in Surgery
Authors: Rui Huang, Jian-Xing Tian, Xu Deng, Zong-Long Zhu, Wei Tian, Chun-Yuan Yang, Ming Xia, Wei Pan
Language: English
Subfield: Pulmonary and Respiratory Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $3,801
OpenAlex ID: W4413972440