Citation, DOI, disclosures and article data
Citation:
Weerakkody Y, Qureshi P, Rizk M, et al. Cholecystoduodenal fistula. Reference article, Radiopaedia.org (Accessed on 03 Mar 2025) https://doi.org/10.53347/rID-42605
A cholecystoduodenal fistula is a fistulous connection between the gallbladder and the duodenum. It is considered the most common type of enterobiliary fistulation.
Can vary but some can present with Bouveret syndrome 3 or a gallstone ileus.
This most commonly develops as a complication of gallstones, and can occur due to iatrogenic causes or due to the presence of a tumour 7.
CT
CT is considered more accurate than ultrasound 2 and allows direct visualisation of a tract between the gallbladder and the duodenum. Pneumobilia may be present as a result 6.
Treatment and prognosis
According to several papers, laparoscopic cholecystectomy is often successfully performed in these cases 4,5.
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1. Paul L. Radiology. 1934;23 (3): . doi:10.1148/23.3.363
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2. Pickhardt PJ, Bhalla S, Balfe DM. Acquired gastrointestinal fistulas: classification, etiologies, and imaging evaluation. Radiology. 2002;224 (1): 9-23. doi:10.1148/radiol.2241011185 - Pubmed citation
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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. doi:10.4103/0971-3026.150136 - Free text at pubmed - Pubmed citation
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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. Pubmed citation
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5. Latic A, Latic F, Delibegovic M et-al. Succcessful laparoscopic treatment of cholecystoduodenal fistula. Med Arh. 2011;64 (6): 379-80. Pubmed citation
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6. Singh N, Stempel K. Images in clinical medicine. Cholecystoduodenal fistula. N. Engl. J. Med. 1997;336 (4): 266. doi:10.1056/NEJM199701233360406 - Pubmed citation
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7. Eurorad.org. Eurorad - Brought to you by the ESR.
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