Malrotation-associated cholecystoduodenal fistula.
METHODS
Female, 16 FINAL DIAGNOSIS: Malrotation and cholecystoduodenal fistula Symptoms: Abdominal pain • anorexia • fever • nausea • vomiting


METHODS
- Clinical Procedure: - Specialty: Gastroenterology and Hepatology.


OBJECTIVE
Anatomical anomaly/variation.


BACKGROUND
Cholecystoduodenal fistula (CDF) is the most common cholecystenteric fistula. It is a late complication of gallbladder disease with calculus and is mainly encountered in the elderly and females.


METHODS
We report the case of a teenage patient with cholecystoduodenal fistula and malrotation. Direct plain abdominal x-ray demonstrated air in the biliary system. Computed tomography revealed CDF-associated with an anomaly of intestinal malrotation. She had gallstones (with a few stones in the gallbladder) and cholecystitis. CDF is caused by malrotation, and cholecystitis has not been reported before. In this regard our patient is the first and youngest reported case.


CONCLUSIONS
We suggest that CDF is probably a consequence of malrotation. The patient's clinical features and operative management are presented and discussed with current literature.
Department of Pediatric Surgery, Medical Faculty, Duzce University, Duzce, Turkey.
Aybars
A
Ozkan
Department of General Surgery, Medical Faculty, Duzce University, Duzce, Turkey.
Ismet
I
Ozaydin
Department of Pediatric Surgery, Medical Faculty, Duzce University, Duzce, Turkey.
Murat
M
Kaya
Department of Pediatric Surgery, Medical Faculty, Duzce University, Duzce, Turkey.
Adem
A
Kucuk
Department of Pediatric Surgery, Samsun Education and Research Hospital, Samsun, Turkey.
Ali Osman
AO
Katranci
cholecystitis; cholecystoduodenal fistula; malrotation