Fístulas Biliares em Combinação Espontânea Interna e Externa Associadas a Cálculos e Glimatose de Vesícula Biliar

Spontaneous combined internal and external biliary fistula is a very rare complication of biliary tract disease. Only two previous cases have been reported so far, and all of them with previous episodes of acute cholecystitis, treated without surgery. We describe a 27-year-old female patient (the y...

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Autores principales: Cícero de Andrade Urban, Linei Augusta Brolini Dellê Urban, Rubens Silveira de Lima, Luiz Fernando Bleggi-Torres
Formato: article
Lenguaje:EN
PT
Publicado: Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA) 2001
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Acceso en línea:https://doaj.org/article/c7905252c2604b02bf6044732e85f537
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Sumario:Spontaneous combined internal and external biliary fistula is a very rare complication of biliary tract disease. Only two previous cases have been reported so far, and all of them with previous episodes of acute cholecystitis, treated without surgery. We describe a 27-year-old female patient (the younger reported to date) who presented with a long history of neglected gallbladder inflammation complicated by neuroglial implants on the peritoneum and on the gallbladder wall due to an ovarian teratoma. She had spontaneous cholecystocutaneous fistula and cholecystocolic fistula that were successfully treated by cholecystectomy and excision of the fistulous tract.