Biliobiliary fistulas manifested by worsening liver function--a case report.
We report a case of cholecystolithiasis with biliobiliary fistulas from gallbladder to hepatic ducts, which were manifested by worsening liver dysfunction. Although it was not diagnosed preoperatively, it was successfully treated by cholecystectomy with closure of fistulas by the gallbladder wall. This case suggests that an internal biliary fistula may be possible, when the gallbladder wall is thickened and shrunken in the case of cholecystolithiasis, accompanied with liver dysfunction despite no dilatation of the common bile duct.
Department of Gastroenterological Surgery, Yokohama City University, Graduate School of Medicine, Kobayashi Clinic, Yokohama, Japan. tak55@med.yokohama.cu.ac.jp
Takashi
T
Ishikawa
Shun
S
Yoshida
Hitoshi
H
Sekido
Daisuke
D
Morioka
Hirotoshi
H
Akiyama
Yasushi
Y
Ichikawa
Itaru
I
Endo
Hideki
H
Masunari
Shinji
S
Togo
Hideo
H
Kobayashi
Hiroshi
H
Shimada
D000368:Aged; D001649:Bile Duct Diseases / Q000175:diagnosis / Q000503:physiopathology* / Q000601:surgery; D001658:Biliary Fistula / Q000175:diagnosis / Q000503:physiopathology* / Q000601:surgery; D041761:Cholecystolithiasis / Q000175:diagnosis / Q000503:physiopathology* / Q000601:surgery; D005260:Female; D006500:Hepatic Duct, Common; D006801:Humans; D008099:Liver / Q000503:physiopathology*; D008111:Liver Function Tests