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2007 | 79 | 11 | 716-719
Tytuł artykułu

Coexistence of Two Cholecystoduodenal Fistulas with Common Bile Duct Stones in a Patient without Jaundice - A Case Report

Treść / Zawartość
Warianty tytułu
Języki publikacji
EN
Abstrakty
EN
This article presents the case of a 56 year-old female patient who was admitted to the surgery ward in order to undergo laparoscopic cholecystectomy. The information obtained through an interview with the patient confirmed a 20-year history of colic pain in the upper right side of the abdomen following dietary transgressions, periodic vomiting, but no fever. The patient did not notice any jaundice. Ten months prior to her admission to the hospital, the patient underwent endoscopy and abdominal ultrasound, which identified the possibility of choledocholithiasis. The patient's lab results were normal and a routine abdominal ultrasound examination confirmed only cholecystolithiasis, no choledocholithiasis, three months prior to her admission to the hospital. Her bilirubin level at the time of admission to the general surgery unit was within the norm. Laparoscopic cholecystectomy was initiated, but following the diagnosis of cholecystoduodenal fistulas, it was converted to an open cholecystectomy, the gallbladder was removed, internal fistulas were supplied, the bile ducts were checked with some stones removed, and a T-drain was inserted. Cholangiography was not performed during the surgery due to equipment malfunction. Post-op recovery was without complication. Cholangiography performed one week after surgery showed residual choledocholithiasis. ERCT and EST were performed and numerous small deposits were removed from the bile ducts. Follow-up cholangiography did not show any choledocholithiasis. Following the removal of the T-drain, the patient was discharged from the hospital in good condition. She has been under observation and does not report any symptoms.
Wydawca

Rocznik
Tom
79
Numer
11
Strony
716-719
Opis fizyczny
Daty
wydano
2007-11-01
online
2008-02-11
Twórcy
  • Department of General Surgery, Specialist Hospital, Piła
Bibliografia
  • Kozicki I: Kamica żółciowa. W: Szmidt J, red: Podstawy chirurgii tom II. Medycyna Praktyczna, Kraków 2004; 915-25.
  • Stern S, Singh S, Thakur M: Cholecystoduodenal fistula. Gastrointest Endosc 2007; 65(1): 154-55.[WoS]
  • Schiemann U, Dayyani V, Muller-Lisse UG, et al.: Aerobilia as an initial sign of cholecystoduodenal fistula - a case report. MMW Fortschr Med 2004 Sep 2; 146(35-36): 39-40.
  • Inal M, Oguz E, Aksungur E: Biliary-enteric fistulas: report of five cases and review of the literature. Eur Radiol 1999; 9: 1145-51.[PubMed]
  • Birecka A, Nienartowicz M, Oleszkiewicz L: Ocena skuteczności rozpoznawczej badania ultrasonograficznego kamicy dróg żółciowych na podstawie diagnostyki śródoperacyjnej. Pol Przegl Chir 1990; 62: 485.
  • Karcz D, (red): Chirurgia endoskopowa, Krakowskie Wydawnictwo Medyczne, Kraków 2000; 94-112, 134-140.
  • Kum CK, Goh PM: Preoperative ERCP in the management of common bile duct stones before laparoskopic cholecystectomy. Eur J Surg 1996; 162: 205.
  • Candela G, Conzo G, Caraco C et al.: Role of intraoperative cholangiography in videolaparoskopic cholcystectomy. Ann Ital Chir 1996; 67: 229.
  • Lee JH, Han HS, Min SK, et al.: Laparoscopic repair of various types of biliary-enteric fistula: three cases. Surg Endosc 2004; 18(2): 349.[PubMed][Crossref]
Typ dokumentu
Bibliografia
Identyfikatory
Identyfikator YADDA
bwmeta1.element.-psjd-doi-10_2478_v10035-007-0111-x
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