JOURNAL OF JAPAN SOCIETY FOR ENDOSCOPIC SURGERY Volume 24, Issue 1 (January 2019)
Japanese

Laparoscopic treatment of cholecystoduodenal fistula diagnosed preoperatively Masao NIWA 1 , Masatoshi HAYASHI 1 , Koya TOCHII 1 , Kei TAKAHASHI 1 , Taku WATANABE 1 , Kozo KAWAMURA 1 1Department of Surgery, Japanese Red Cross Gifu Hospital Keyword: 術前診断 , 腹腔鏡 , 胆囊十二指腸瘻 pp.23-29
Published Date 2019/1/15
DOI https://doi.org/10.11477/mf.4426200661
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 We report a 76-year-old man who developed a fever during hospitalization for cataract surgery at our hospital. A blood test revealed elevated liver and biliary enzyme values, and an abdominal CT examination showed pneumobilia and common bile duct stones. The presence of a cholecystoduodenal fistula was suspected based on the continuity of the duodenum and gallbladder neck, and an upper gastrointestinal endoscopy revealed a fistula of approximately 5mm in the duodenum. Consequently, the patient was diagnosed as having a cholecystoduodenal fistula. After ERCP for choledocholithiasis, we performed a laparoscopic fistectomy and cholecystectomy. Laparoscopic surgery may be useful as a minimally invasive procedure if a cholecystoduodenal fistula can be diagnosed preoperatively and the inflammation surrounding the fistula is mild.


Copyright © 2019, JAPAN SOCIETY FOR ENDOSCOPIC SURGERY All rights reserved.

基本情報

13446703.24.1.jpg
日本内視鏡外科学会雑誌
24巻1号 (2019年1月)
電子版ISSN 2186-6643 印刷版ISSN 1344-6703 日本内視鏡外科学会

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