The Curious Case of a Missing Gallbladder: An Unusual Presentation of a Cholecystoduodenal Fistula
Large gallstones could erode through gallbladder wall to nearby structures, causing fistulas, gastric outlet obstruction and gallstone ileus. They typically occur in elderly patients with comorbidities carrying therapeutic challenges. We present a case of a middle-aged woman who was thought to have...
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Thieme Medical and Scientific Publishers Pvt. Ltd.
2021
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oai:doaj.org-article:89bade2d9e3941b89a3698838b1ffc812021-12-03T00:13:24ZThe Curious Case of a Missing Gallbladder: An Unusual Presentation of a Cholecystoduodenal Fistula2231-07702249-446410.1055/s-0041-1739541https://doaj.org/article/89bade2d9e3941b89a3698838b1ffc812021-12-01T00:00:00Zhttp://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1739541https://doaj.org/toc/2231-0770https://doaj.org/toc/2249-4464Large gallstones could erode through gallbladder wall to nearby structures, causing fistulas, gastric outlet obstruction and gallstone ileus. They typically occur in elderly patients with comorbidities carrying therapeutic challenges. We present a case of a middle-aged woman who was thought to have symptomatic cholelithiasis. Extensive adhesions precluded safe cholecystectomy. While hepatobiliary iminodiacetic acid scan and magnetic resonance imaging with cholangiopancreatography (MRI-MRCP) failed to visualize the gallbladder, computed tomography (CT) was consistent with cholecystoduodenal fistula. A very large gallstone was seen endoscopically in the duodenum, which was broken down into pieces using a large stiff snare.Sarvani SurapaneniWissam KiwanMichael K. ChiuAlkis ZingasShakir HusseinMurray EhrinpreisThieme Medical and Scientific Publishers Pvt. Ltd.articlecholecystoduodenal fistulalarge gallstonesendoscopyMedicineRENAvicenna Journal of Medicine (2021) |
| institution |
DOAJ |
| collection |
DOAJ |
| language |
EN |
| topic |
cholecystoduodenal fistula large gallstones endoscopy Medicine R |
| spellingShingle |
cholecystoduodenal fistula large gallstones endoscopy Medicine R Sarvani Surapaneni Wissam Kiwan Michael K. Chiu Alkis Zingas Shakir Hussein Murray Ehrinpreis The Curious Case of a Missing Gallbladder: An Unusual Presentation of a Cholecystoduodenal Fistula |
| description |
Large gallstones could erode through gallbladder wall to nearby structures, causing fistulas, gastric outlet obstruction and gallstone ileus. They typically occur in elderly patients with comorbidities carrying therapeutic challenges. We present a case of a middle-aged woman who was thought to have symptomatic cholelithiasis. Extensive adhesions precluded safe cholecystectomy. While hepatobiliary iminodiacetic acid scan and magnetic resonance imaging with cholangiopancreatography (MRI-MRCP) failed to visualize the gallbladder, computed tomography (CT) was consistent with cholecystoduodenal fistula. A very large gallstone was seen endoscopically in the duodenum, which was broken down into pieces using a large stiff snare. |
| format |
article |
| author |
Sarvani Surapaneni Wissam Kiwan Michael K. Chiu Alkis Zingas Shakir Hussein Murray Ehrinpreis |
| author_facet |
Sarvani Surapaneni Wissam Kiwan Michael K. Chiu Alkis Zingas Shakir Hussein Murray Ehrinpreis |
| author_sort |
Sarvani Surapaneni |
| title |
The Curious Case of a Missing Gallbladder: An Unusual Presentation of a Cholecystoduodenal Fistula |
| title_short |
The Curious Case of a Missing Gallbladder: An Unusual Presentation of a Cholecystoduodenal Fistula |
| title_full |
The Curious Case of a Missing Gallbladder: An Unusual Presentation of a Cholecystoduodenal Fistula |
| title_fullStr |
The Curious Case of a Missing Gallbladder: An Unusual Presentation of a Cholecystoduodenal Fistula |
| title_full_unstemmed |
The Curious Case of a Missing Gallbladder: An Unusual Presentation of a Cholecystoduodenal Fistula |
| title_sort |
curious case of a missing gallbladder: an unusual presentation of a cholecystoduodenal fistula |
| publisher |
Thieme Medical and Scientific Publishers Pvt. Ltd. |
| publishDate |
2021 |
| url |
https://doaj.org/article/89bade2d9e3941b89a3698838b1ffc81 |
| work_keys_str_mv |
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| _version_ |
1718373999772172288 |