Successful preoperative diagnosis of a cholecystogastric fistula using endoscopic retrograde cholangiography: report of a case.
A 64-year-old woman who presented with pyrexia and severe right upper quadrant abdominal pain was suspected of a having a cholecystogastric fistula by the abdominal plain radiograph and gastrointestinal endoscopic findings. The diagnosis was established preoperatively by endoscopic retrograde cholangiography (ERC), following which a cholecystectomy and fistulectomy with resection of the extrahepatic bile duct and hepaticojejunostomy were performed. The patient has remained well since her discharge from hospital.
Nakamura
M
M
Department of Surgery, Ogori-Daiichi General Hospital, Yamaguchi, Japan.
Hamanaka
Y
Y
Kawamura
A
A
Suzuki
T
T
D001658:Biliary Fistula / Q000000981:diagnostic imaging*; D002760:Cholangiopancreatography, Endoscopic Retrograde; D005260:Female; D005747:Gastric Fistula / Q000000981:diagnostic imaging*; D006801:Humans; D008875:Middle Aged; D011300:Preoperative Care