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Related Concept Videos

Chronic Bowel Disorders: Introduction01:17

Chronic Bowel Disorders: Introduction

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Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
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Gallbladder01:17

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Related Experiment Video

Updated: Mar 18, 2026

Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction
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UNUSUAL BILIARY FISTULA.

S N Shirbur1, H Ramachandran2, S Gokhale3

  • 1Classified Specialist (Surgery), Military Hospital Bareilly Cantt (UP) 243 001.

Medical Journal, Armed Forces India
|July 14, 2016
PubMed
Summary
This summary is machine-generated.

Agenesis of the gallbladder is rare, often diagnosed post-mortem. Biliary fistulae, internal or external, present diagnostic challenges, with internal fistulae potentially involving the stomach or intestines.

Keywords:
Biliary calculiCholedochogastric fistulaGall bladder agenesisPneumobilia

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Area of Science:

  • Gastroenterology and Hepatobiliary Medicine

Background:

  • Agenesis of the gallbladder is a rare congenital anomaly.
  • Biliary fistulae can be external (trauma, surgery) or internal (erosion by stones, cancer, ulcers).

Purpose of the Study:

  • To highlight the diagnostic challenges of gallbladder agenesis and biliary fistulae.
  • To discuss the clinical presentation and potential sites of internal biliary fistulae.

Main Methods:

  • Review of clinical rarity and diagnostic difficulties.
  • Analysis of causes and common locations of biliary fistulae.

Main Results:

  • Gallbladder agenesis is typically diagnosed at autopsy.
  • Internal biliary fistulae can connect the biliary tree to the stomach, duodenum, jejunum, ileum, or colon.

Conclusions:

  • Preoperative diagnosis of gallbladder agenesis is difficult.
  • Gas shadows within the biliary tree suggest the presence of internal biliary fistulae.