Cholecystoduodenal fistula presenting with upper gastrointestinal bleeding: A case report  

作　　者：Jin Myung Park Chang Don Kang Ji Hyun Kim Sang Hoon Lee Seung-Joo Nam Sung Chul Park Sung JoonLee Seungkoo Lee 

机构地区：[1]Department of Internal Medicine,Kangwon National University School of Medicine,Chuncheon 24289,Kangwon Do,South Korea [2]Department of Gastroenterology,Kangwon National University Hospital,Chuncheon 24289,Kangwon Do,South Korea [3]Anatomy and Pathology,Kangwon National University School of Medicine,Chuncheon 200947,Kangwon Do,South Korea [4]Department of Pathology,Kangwon National University Hospital,Chuncheon 24289,Kangwon Do,South Korea

出　　处：《World Journal of Clinical Cases》2021年第2期410-415,共6页世界临床病例杂志

摘　　要：BACKGROUND Cholecystoduodenal fistula is a rare complication of cholelithiasis.Symptoms are usually non-specific and often indistinguishable from those of etiologic diseases,but it rarely presents as severe gastrointestinal bleeding.Bleeding associated with cholecystoduodenal fistula usually requires surgery because significant bleeding from the cystic artery is unlikely to be resolved by conservative management or endoscopic hemostasis.CASE SUMMARY We report a case of cholecystoduodenal fistula that presented with hematemesis which was diagnosed by endoscopy and computed tomography.Endoscopic hemostasis could not be achieved,but surgical treatment was successful.Additionally,we have presented a literature review.CONCLUSION Cholecystoduodenal fistula should be considered as differential diagnosis when a patient with history of gallstone disease presents with gastrointestinal bleeding.

关 键 词：Biliary fistula HEMATEMESIS CHOLECYSTITIS GALLSTONES CHOLECYSTECTOMY Case report 

分 类 号：R657.4[医药卫生—外科学]