Abstract
Cholecystoduodenal fistulae is a rare clinical entity resulting from the inflammation of the gallbladder. Preoperative diagnosis of this clinical entity is difficult due to the obscure clinical picture and is frequently established intraoperatively. Since preoperative diagnosis of the clinical entity is hard during planning the surgical treatment, one should consider all its aspects including malignancy. In this report we present three distinct cases with cholecystoduodenal fistulae that were diagnosed intraoperatively. We aimed to discuss the diagnostic approach and the treatment modalities available in the guidance of the current literature.
Keywords:
Cholecystoduodenal fistulae, preoperative diagnosis, surgical treatment
References
1
Stull JR, Thomford NR. Biliary intestinal fistula. Am J Surg, 1970; 120: 27-31.
2
Rodriguez Romano D, Moreno Gonzalez E, Jimenez Romero C, et al. Duodenal obstruction by gallstones (Bouveret's syndrome). Presentation of a new case and literature review. Hepatogastroenterology, 1997; 44: 1351-1355.
3
Velez M, Mule J, Brandon J, et al. Laparoscopic repair of a cholecystoduodenal fistula. Surg Endosc, 1991; 5: 221-223.
4
Sharma A, Sullivan M, English H, et al. Laparoscopic repair of cholecystoduodenal fistulae. Surg Laparosc Endosc, 1994; 4: 433-435.
5
Carlei F, Lezoche E, Lomanto D, et al. Cholecystoenteric fistula is not a contraindication for laparoscopic cholecystectomy: report of five cases treated by laparoscopic approach. Surg Laparosc Endosc, 1997; 7: 403-406.
6
Sandbichler P, Konigsrainer A, Steiner E. Gallstone ileus. Deutsch Med Wochenschr, 1987; 112: 1079-1081.
7
Stagnitti F, Mongardini M, Schillaci F, Dall'Olio D, De Pascalis M, Natalini E. Spontaneous biliodigestive fistulae. The clinical considerations, surgical treatment and complications G Chir, 2000; 21: 110-117.
8
Atli AO, Coskun T, Ozenc A, Hersek E. Biliary enteric fistulas. Int Surg, 1997; 82: 280-283.
9
Bianchetti D, Drouot E, Sala JJ, Mabille JP.Bilio-digestive fistula with an unusual etiology. J Radiol, 1993; 74: 275-278.
10
Yamashita H, Chijiiwa K, Ogawa Y, Kuroki S, Tanaka M. The internal biliary fistula--reappraisal of incidence, type, diagnosis and management of 33 consecutive cases. HPB Surg, 1997; 10: 143-147.
11
Le Corguille M, Levy P, Ponsot P, Sibert A, Hammel P, Ruszniewski P. Intraductal papillary mucinous tumor with pancreatobiliary and pancreatodigestive fistulae: a case report. Gastroenterol Clin Biol, 2002; 26: 1172-1174.
12
Radin DR, Santiago EM.Cholecystoduodenal fistula due to pancreatic carcinoma: CT diagnosis. J Comput Assist Tomogr 1986; 10: 149-150.
13
Larmi TK. Malignant melanoma of the gallbladder. Report of a case resulting in an externalbiliary fistula. Acta Chir Scand, 1960; 119: 502-505.
14
Chikamori F, Okumiya K, Inoue A, Kuniyoshi N. Laparoscopic cholecystofistulectomy for preoperatively diagnosed cholecystoduodenal fistulae. J Gastroenterol, 2001; 36: 125-128.
15
Baron TH, Farnell MB, Leroy AJ. Endoscopic transpapillary gallbladder drainage for closure of calculous gallbladder perforation and cholecystoduodenal fistula. Gastrointest Endosc, 2002; 56: 753-755.
16
O'Donoghue G. Cholecystocolic fistula and large bowel obstruction due to gallstone ileus Arch Surg, 2003; 138: 1393.
17
Outomuro J, Serena A, Campos L, Pineda JR, Montes. Nonvisualization of the common bile duct and normal biliary to bowel transit: an indirect sign of bilioenteric fistula. Clin Nucl Med, 2000; 25: 309-311.
18
Kuo KK, Sheen PC, Chang SC, Chen JS, Lee KT, Cham CM. Spontaneous multiple cholecystoenteric fistulas-a case report. Kaohsiung J Med Sci, 1999; 15: 674-678.
19
Inoue H, Muraoka Y, Kobori Y, et al. Combination therapy of laparoscopic cholecystectomy and endoscopic transpapillary lithotripsy for both cholecystolithiasis and choledocholithiasis. Surg Endosc, 1992; 6: 246-248.
20
Aliperti G, Edmundowicz SA, Soper NJ, Ashley SW. Combined endoscopic sphincterotomy and laparoscopic cholecystectomy in patients choledocholithiasis and cholecystolithiasis. Ann Intern Med, 1991; 115: 783-785.
21
Garber SM, Korman J, Cosgrove JM, Cohen JR. Early laparoscopic cholecystectomy for acute cholecystitis. Surg Endosc, 1997; 11: 347-350.
22
Bakr AA. A new modified layout for laparoscopic cholecystectomy. J Soc Laparoendosc Surg, 1997; 1: 281-283.
23
Fang JF, Chen RJ, Lin BC. Surgical treatment and outcome after delayed diagnosis of blunt duodenal injury. Eur J Surg, 1999; 165: 133-139.
