Cholecystoduodenal fistula

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A cholecysto-duodenal fistula refers to a fistulous connection between the gallbladder and the duodenum. It is considered a commenst type of gut - biliary fistulation.

Clinical presentation

Can vary but some can present with Bouveret syndrome³ or a gallstone ileus.

Radiographic features

CT abdomen

Considered more accurate than ultrasound ² and allows direct visualisation of a tract - communication between the gallbladder and the duodenum. Pneumobilia may be present as a result⁶.

Treatment and prognosis

According to several papers, laparoscopic cholecystemies are often successfully performed in these cases ^4-5.

-<p>A <strong>cholecysto-duodenal fistula</strong> refers to a fistulous connection between the gallbladder and the duodenum. It is considered a commenst type of gut - biliary fistulation.</p><h4>Clinical presentation</h4><p>Can vary but some can present with <a href="/articles/bouveret-syndrome-1">Bouveret syndrome</a><sup> 3</sup> or a gallstone ileus.</p><h4>Radiographic features</h4><h5>CT abdomen</h5><p>Considered more accurate than ultrasound <sup>2</sup> and allows direct visualisation of a tract - communication between the gallbladder and the duodenum. Pneumobilia may be present as a result.</p><h4>Treatment and prognosis</h4><p>According to several papers, laparoscopic cholecystemies are often successfully performed in these cases <sup>4-5</sup>.</p><h4>See also</h4><ul><li><a href="/articles/gut-fistulation">gut fistulation</a></li></ul><p> </p>
+<p>A <strong>cholecysto-duodenal fistula</strong> refers to a fistulous connection between the gallbladder and the duodenum. It is considered a commenst type of gut - biliary fistulation.</p><h4>Clinical presentation</h4><p>Can vary but some can present with <a href="/articles/bouveret-syndrome-1">Bouveret syndrome</a><sup> 3</sup> or a gallstone ileus.</p><h4>Radiographic features</h4><h5>CT abdomen</h5><p>Considered more accurate than ultrasound <sup>2</sup> and allows direct visualisation of a tract - communication between the gallbladder and the duodenum. Pneumobilia may be present as a result <sup>6</sup>.</p><h4>Treatment and prognosis</h4><p>According to several papers, laparoscopic cholecystemies are often successfully performed in these cases <sup>4-5</sup>.</p><h4>See also</h4><ul><li><a href="/articles/gut-fistulation">gut fistulation</a></li></ul><p> </p>

References changed:

1. Paul L. Radiology. 1934;23 (3): . <a href="http://dx.doi.org/10.1148/23.3.363">doi:10.1148/23.3.363</a><span class="auto"></span>
6. Singh N, Stempel K. Images in clinical medicine. Cholecystoduodenal fistula. N. Engl. J. Med. 1997;336 (4): 266. <a href="http://dx.doi.org/10.1056/NEJM199701233360406">doi:10.1056/NEJM199701233360406</a> - <a href="http://www.ncbi.nlm.nih.gov/pubmed/8995090">Pubmed citation</a><span class="auto"></span>
2. Pickhardt PJ, Bhalla S, Balfe DM. Acquired gastrointestinal fistulas: classification, etiologies, and imaging evaluation. Radiology. 2002;224 (1): 9-23. <a href="http://dx.doi.org/10.1148/radiol.2241011185">doi:10.1148/radiol.2241011185</a> - <a href="http://www.ncbi.nlm.nih.gov/pubmed/12091657">Pubmed citation</a><span class="auto"></span>
3. Negi RS, Chandra M, Kapur R. Bouveret syndrome: Primary demonstration of cholecystoduodenal fistula on MR and MRCP study. Indian J Radiol Imaging. 2015;25 (1): 31-4. <a href="http://dx.doi.org/10.4103/0971-3026.150136">doi:10.4103/0971-3026.150136</a> - <a href="http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4329685">Free text at pubmed</a> - <a href="http://www.ncbi.nlm.nih.gov/pubmed/25709163">Pubmed citation</a><span class="auto"></span>
4. Moreno Ruiz FJ, del Rey Moreno A, Suescun García RM et-al. Treatment of cholecystoduodenal fistula in the era of laparoscopy. Rev Esp Enferm Dig. 2002;93 (11): 715-20. <a href="http://www.ncbi.nlm.nih.gov/pubmed/11995371">Pubmed citation</a><span class="auto"></span>
5. Latic A, Latic F, Delibegovic M et-al. Succcessful laparoscopic treatment of cholecystoduodenal fistula. Med Arh. 2011;64 (6): 379-80. <a href="http://www.ncbi.nlm.nih.gov/pubmed/21218763">Pubmed citation</a><span class="auto"></span>

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