Cholecystoduodenal fistula presenting with upper gastrointestinal bleeding: A case report

被引：10

作者：

Park, Jin Myung ^{[1
,2
]}

Kang, Chang Don ^{[1
,2
]}

Kim, Ji Hyun ^{[1
,2
]}

Lee, Sang Hoon ^{[1
,2
]}

Nam, Seung-Joo ^{[1
,2
]}

Park, Sung Chul ^{[1
,2
]}

Lee, Sung Joon ^{[1
,2
]}

Lee, Seungkoo ^{[3
,4
]}

机构：

[1] Kangwon Natl Univ, Sch Med, Dept Internal Med, Chunchon 24289, Kangwon Do, South Korea

[2] Kangwon Natl Univ Hosp, Dept Gastroenterol, Baengnyeong Ro 156, Chunchon 24289, Kangwon Do, South Korea

[3] Kangwon Natl Univ, Sch Med, Anat & Pathol, Chunchon 200947, Kangwon Do, South Korea

[4] Kangwon Natl Univ Hosp, Dept Pathol, Chunchon 24289, Kangwon Do, South Korea

来源：

WORLD JOURNAL OF CLINICAL CASES | 2021年 / 9卷 / 02期

关键词：

Biliary fistula; Hematemesis; Cholecystitis; Gallstones; Cholecystectomy; Case report;

D O I：

10.12998/wjcc.v9.i2.410

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

BACKGROUND Cholecystoduodenal fistula is a rare complication of cholelithiasis. Symptoms are usually non-specific and often indistinguishable from those of etiologic diseases, but it rarely presents as severe gastrointestinal bleeding. Bleeding associated with cholecystoduodenal fistula usually requires surgery because significant bleeding from the cystic artery is unlikely to be resolved by conservative management or endoscopic hemostasis. CASE SUMMARY We report a case of cholecystoduodenal fistula that presented with hematemesis which was diagnosed by endoscopy and computed tomography. Endoscopic hemostasis could not be achieved, but surgical treatment was successful. Additionally, we have presented a literature review. CONCLUSION Cholecystoduodenal fistula should be considered as differential diagnosis when a patient with history of gallstone disease presents with gastrointestinal bleeding.

引用

页码：410 / 415

页数：6

共 19 条

[1] Mirizzi syndrome and gallstone ileus: An unusual presentation of gallstone disease [J].