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.
Ishikawa
Takashi
T
Department of Gastroenterological Surgery, Yokohama City University, Graduate School of Medicine, Kobayashi Clinic, Yokohama, Japan. tak55@med.yokohama.cu.ac.jp
Yoshida
Shun
S
Sekido
Hitoshi
H
Morioka
Daisuke
D
Akiyama
Hirotoshi
H
Ichikawa
Yasushi
Y
Endo
Itaru
I
Masunari
Hideki
H
Togo
Shinji
S
Kobayashi
Hideo
H
Shimada
Hiroshi
H
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