title: Concomitant cholecystoduodenal fistula and cholecystocholedochal fistula due to actinomyces.
abstract: 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.
authors.affiliation: Department of Surgery, Physicians Medical Center Carraway, Birmingham, Alabama 35234, USA.
authors.forename: Samuel E
authors.initials: SE
authors.lastname: Bledsoe
authors.forename: Adrienne E
authors.initials: AE
authors.lastname: Oliver
authors.forename: Dennis G
authors.initials: DG
authors.lastname: Delgado
authors.forename: Raleigh B
authors.initials: RB
authors.lastname: Kent
mesh_terms: 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