Cholecystoduodenal fistula in a nonagenarian. Can laparotomy play a role in the era of laparoscopic? Case report.
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.
Di Carlo
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I
Department of Surgical Sciences, Organ Transplantation and Advanced Technologies, Cannizzaro Hospital, University of Catania, Catania, Italy. idicarlo@unict.it
Toro
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A
Sparatore
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Primo
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D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D007412:Intestinal Fistula / Q000601:surgery*; D010535:Laparoscopy; D007813:Laparotomy