Concomitant cholecystoduodenal fistula and cholecystocholedochal fistula due to actinomyces.
This report describes a patient with a cholecystoduodenal fistula and cholecystocholedochal fistula who was found to have Actinomyces contained within the gallbladder upon pathologic examination. The cholecystocholedochal fistula was repaired using a flap of gallbladder over a T-tube, and the actinomycosis was successfully eradicated with 6 weeks of intravenous doxycycline followed by an additional 6 months of oral doxycycline.
Bledsoe
Samuel E
SE
Department of Surgery, Physicians Medical Center Carraway, Birmingham, Alabama 35234, USA.
Oliver
Adrienne E
AE
Delgado
Dennis G
DG
Kent
Raleigh B
RB
D000196:Actinomycosis / Q000150:complications*; D000368:Aged; D001658:Biliary Fistula / Q000382:microbiology*; D003137:Common Bile Duct Diseases / Q000382:microbiology*; D005705:Gallbladder Diseases / Q000382:microbiology*; D006801:Humans; D007412:Intestinal Fistula / Q000382:microbiology*; D008297:Male