title: Cholecystoduodenal fistula in a nonagenarian. Can laparotomy play a role in the era of laparoscopic? Case report.
abstract: Cholecystoduodenal fistula, a rare complication of biliary lithiasis, occurs in 0.5% to 3% of patients affected by cholelithiasis. Diagnosis is not easy and is usually incidental at surgery. The literature guidelines call for a laparoscopic approach to treating these patients; here, however, we report a case of a very elderly patient in which, among other reasons, open surgery was the treatment of choice to decrease morbidity and mortality.
authors.affiliation: Department of Surgical Sciences, Organ Transplantation and Advanced Technologies, Cannizzaro Hospital, University of Catania, Catania, Italy. idicarlo@unict.it
authors.forename: I
authors.initials: I
authors.lastname: Di Carlo
authors.forename: A
authors.initials: A
authors.lastname: Toro
authors.forename: F
authors.initials: F
authors.lastname: Sparatore
authors.forename: S
authors.initials: S
authors.lastname: Primo
mesh_terms: D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D007412:Intestinal Fistula / Q000601:surgery*; D010535:Laparoscopy; D007813:Laparotomy