Double Incomplete Internal Biliary Fistula: Coexisting Cholecystogastric and Cholecystoduodenal Fistula

Internal biliary fistula is a rare complication of a common surgical disease, cholelithiasis. It is seen in 0.74% of all biliary tract surgeries and is thought to be a result of repeated inflammatory periods of the gallbladder. In this report we present a case of incomplete cholecystogastric and cholecystoduodenal fistulae in a single patient missed by ultrasonography and endoscopic retrograde cholangiopancreatography and diagnosed intraoperatively. In the literature there is only one report of an incomplete cholecystogastric fistula. To our knowledge this is the first case of double incomplete internal biliary fistulae.

[1]  Chang Ho Kim,et al.  Incidental cholecystojejunal fistula treated with successful laparoscopic management , 2014, Annals of surgical treatment and research.

[2]  Santosh Shenoy.  Spontaneous Internal Biliary Fistulas from Gallstones: Mirizzi's Syndrome, Cholecystoenteric Fistula, and Gallstone Ileus , 2014, The American surgeon.

[3]  R. D'Errico,et al.  Cholecystoenteric fistula (CF) is not a contraindication for laparoscopic surgery , 2001, Surgical Endoscopy.

[4]  P. Chowbey,et al.  Laparoscopic management of cholecystoenteric fistulas. , 2006, Journal of laparoendoscopic & advanced surgical techniques. Part A.

[5]  Y. Hamanaka,et al.  Successful preoperative diagnosis of a cholecystogastric fistula using endoscopic retrograde cholangiography: Report of a case , 1997, Surgery Today.

[6]  B. Lallemand,et al.  Mirizzi Syndrome with a Double Biliary Fistula , 2002, Acta chirurgica Belgica.

[7]  M. Kajimura,et al.  Preservative treatment for biliobiliary fistula. , 1999, Journal of clinical gastroenterology.

[8]  M. Oğuz,et al.  Biliary–enteric fistulas: report of five cases and review of the literature , 1999, European Radiology.

[9]  A. Ozenç,et al.  Biliary enteric fistulas. , 1997, International surgery.

[10]  Masao Tanaka,et al.  The Internal Biliary Fistula – Reappraisal of Incidence, Type, Diagnosis and Management of 33 Consecutive Cases , 1997, HPB surgery : a world journal of hepatic, pancreatic and biliary surgery.

[11]  F. Glenn,et al.  Biliary enteric fistula. , 1957, Surgery, gynecology & obstetrics.

[12]  O. Piedad,et al.  Spontaneous Internal Biliary Fistula, Obstructive and Nonobstructive Types: Twenty‐Year Review of 55 Cases , 1972, Annals of surgery.

[13]  E. S. Judd,et al.  Cholecystocolonic fistula. , 1969, Minnesota medicine.

[14]  B. E. Chamberlain.  Incomplete cholecystogastric fistula. , 1955, American journal of surgery.

[15]  L. M. Bosch del Marco.  [Spontaneous internal biliary fistula]. , 1953, Boletin. Sociedad de Cirugia del Uruguay.

[16]  C. B. Puestow.  SPONTANEOUS INTERNAL BILIARY FISTULAE. , 1942, Annals of surgery.