Cholecystoduodenal fistula associated with choledochal cyst: a rare clinical entity

Subash Rajendra Banerjee Jesudason1, Ravish Sanghi Raju

  • 1Department of General Surgery Unit 4 (Hepato-Biliary Pancreatic Surgery), Christian Medical College, Vellore, 632004, Tamil Nadu, India.

Insights

This case study discusses a type I choledochal cyst and cholecystoduodenal fistula in a 61-year-old woman. Management involved surgical excision of the cyst and fistula disconnection.

Area of Science:

  • Gastroenterology
  • Surgical Case Study

Background:

  • Choledochal cysts are congenital biliary anomalies.
  • Cholecystoduodenal fistula is an abnormal connection between the gallbladder and duodenum.

Observation:

  • A 61-year-old woman presented with cholangitis.
  • Diagnostic imaging revealed a type I choledochal cyst and a cholecystoduodenal fistula.

Findings:

  • Surgical excision of the choledochal cyst was performed.
  • Disconnection of the cholecystoduodenal fistula was successfully achieved.

Implications:

  • This case highlights the importance of considering choledochal cysts and associated fistulas in patients with cholangitis.
  • Effective surgical management can lead to favorable outcomes.

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