Endoscopic Retrograde Cholangiopancreatography (ERCP): Used to Diagnose and Treat Cholecystoduodenal Fistula, a Rare Clinical Entity

被引:4
作者
Malik, Atika [1 ]
Fawwaz, Baha Aldeen Bani [2 ]
Michael, Miriam [3 ]
Akram, Muhammad Omar [2 ]
Khan, Abu H. [4 ]
机构
[1] Punjab Hosp, Internal Med, Sialkot, Pakistan
[2] AdventHlth Orlando, Internal Med, Orlando, FL USA
[3] Howard Univ, Internal Med, Washington, DC USA
[4] AdventHlth Orlando, Gastroenterol & Hepatol, Orlando, FL USA
关键词
sphincterotomy; ercp; cholecystoduodenal fistula; pneumobilia; cholecystitis; cholelithiasis; MANAGEMENT;
D O I
10.7759/cureus.18962
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Biliary enteric fistula is a rare diagnosis. Common etiologies include chronic cholecystitis with cholelithiasis and peptic ulcer disease. Of these, the number one cause is chronic cholecystitis with cholelithiasis. Adhesion of a chronically inflamed gallbladder to the duodenum followed by erosion of the gallbladder wall by gallstones leads to the establishment of an abnormal communication between the gallbladder and duodenum. This abnormal communication, namely, cholecystoduodenal fistula, has a high mortality rate and therefore must be managed in a timely manner. The case presented in this report is that of a 76-year old female suffering from chronic cholecystitis and cholelithiasis who was both diagnosed with as well as managed for cholecystoduodenal fistula by the use of endoscopic retrograde cholangiopancreatography (ERCP).
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页数:6
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