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Cholecystoduodenal fistula presenting with upper gastrointestinal bleeding: A case report
Jin Myung Park1, Chang Don Kang1, Ji Hyun Kim1
1Department of Internal Medicine, Kangwon National University School of Medicine, Chuncheon 24289, Kangwon Do, South Korea.
Insights
Cholecystoduodenal fistula, a rare gallstone complication, can cause severe gastrointestinal bleeding. Surgical intervention is often necessary for this condition when conservative treatments fail.
Area of Science:
- Gastroenterology
- Surgical Pathology
Background:
- Cholelithiasis (gallstones) can rarely lead to cholecystoduodenal fistula.
- Symptoms are often non-specific, mimicking other gastrointestinal conditions.
Observation:
- A case of cholecystoduodenal fistula presented with severe hematemesis (vomiting blood).
- Diagnosis was confirmed using endoscopy and computed tomography (CT).
Findings:
- Endoscopic hemostasis was unsuccessful in controlling the bleeding.
- Surgical treatment successfully resolved the gastrointestinal bleeding.
Implications:
- Cholecystoduodenal fistula should be considered in patients with a history of gallstones presenting with gastrointestinal bleeding.
- This rare complication often necessitates surgical management due to potential for severe hemorrhage.
Background:
Cholecystoduodenal fistula is a rare complication of cholelithiasis. Symptoms are usually non-specific and often indistinguishable from those of etiologic diseases, but it rarely presents as severe gastrointestinal bleeding. Bleeding associated with cholecystoduodenal fistula usually requires surgery because significant bleeding from the cystic artery is unlikely to be resolved by conservative management or endoscopic hemostasis.
Case Summary:
We report a case of cholecystoduodenal fistula that presented with hematemesis which was diagnosed by endoscopy and computed tomography. Endoscopic hemostasis could not be achieved, but surgical treatment was successful. Additionally, we have presented a literature review.
Conclusion:
Cholecystoduodenal fistula should be considered as differential diagnosis when a patient with history of gallstone disease presents with gastrointestinal bleeding.
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