Cholecystoduodenal fistula

Last revised by Dr Vitalii Rogalskyi on 08 Nov 2021

Cholecystoduodenal fistula refers to a fistulous connection between the gallbladder and the duodenum. It is considered the most common type of enterobiliary fistulation.

This most commonly develops as a complication of gall stones, can occur due to iatrogenic causes or due to the presence of a tumor 7

Can vary but some can present with Bouveret syndrome 3 or a gallstone ileus.

CT is considered more accurate than ultrasound 2 and allows direct visualization of a tract between the gallbladder and the duodenum. Pneumobilia may be present as a result 6.

According to several papers, laparoscopic cholecystectomy is often successfully performed in these cases 4-5.

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Cases and figures

  • Case 1
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  • Case 2
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  • Case 3
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  • Case 4
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  • Case 5
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  • Case 6: with gallstone migration
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