Department of Surgery, Buca Seyfi Demirsoy State Hospital, Izmir, Turkey
Received Date: December 22, 2016; Accepted Date: January 09, 2017; Published Date: January 16, 2017
Citation: Engin O. Cholecystoduodenal Fistula: A Case Report. J Univer Surg. 2016, 5:1. doi:10.21767/2254-6758.100069
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].
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