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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Autores principales: Surapaneni, Sarvani, Kiwan, Wissam, Chiu, Michael K., Zingas, Alkis, Hussein, Shakir, Ehrinpreis, Murray
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Thieme Medical and Scientific Publishers Pvt. Ltd. 2021
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9110104/
https://www.ncbi.nlm.nih.gov/pubmed/35586392
http://dx.doi.org/10.1055/s-0041-1739541
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author Surapaneni, Sarvani
Kiwan, Wissam
Chiu, Michael K.
Zingas, Alkis
Hussein, Shakir
Ehrinpreis, Murray
author_facet Surapaneni, Sarvani
Kiwan, Wissam
Chiu, Michael K.
Zingas, Alkis
Hussein, Shakir
Ehrinpreis, Murray
author_sort Surapaneni, Sarvani
collection PubMed
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.
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spelling pubmed-91101042022-05-17 The Curious Case of a Missing Gallbladder: An Unusual Presentation of a Cholecystoduodenal Fistula Surapaneni, Sarvani Kiwan, Wissam Chiu, Michael K. Zingas, Alkis Hussein, Shakir Ehrinpreis, Murray Avicenna J Med 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. Thieme Medical and Scientific Publishers Pvt. Ltd. 2021-12-02 /pmc/articles/PMC9110104/ /pubmed/35586392 http://dx.doi.org/10.1055/s-0041-1739541 Text en Syrian American Medical Society. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. ( https://creativecommons.org/licenses/by-nc-nd/4.0/ ) https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License, which permits unrestricted reproduction and distribution, for non-commercial purposes only; and use and reproduction, but not distribution, of adapted material for non-commercial purposes only, provided the original work is properly cited.
spellingShingle Surapaneni, Sarvani
Kiwan, Wissam
Chiu, Michael K.
Zingas, Alkis
Hussein, Shakir
Ehrinpreis, Murray
The Curious Case of a Missing Gallbladder: An Unusual Presentation of a Cholecystoduodenal Fistula
title 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_short 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
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9110104/
https://www.ncbi.nlm.nih.gov/pubmed/35586392
http://dx.doi.org/10.1055/s-0041-1739541
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