Gallstone fistula with a gastric duplication cyst: an unusual complication of cholecystitis.

Autor:	Bhamrah J; Queen Elizabeth Hospital, Norfolk, UK., Diep PT; Queen Elizabeth Hospital, Norfolk, UK., Bennet J; Queen Elizabeth Hospital, Norfolk, UK., Warren H; Queen Elizabeth Hospital, Norfolk, UK.
Jazyk:	angličtina
Zdroj:	Journal of surgical case reports [J Surg Case Rep] 2010 Nov 01; Vol. 2010 (9), pp. 6. Date of Electronic Publication: 2010 Nov 01.
DOI:	10.1093/jscr/2010.9.6
Abstrakt:	Cholecystitis can result in complications if not completely treated. These include gallbladder empyema, perforation and cholecystoenteric fistula. We report the first incidence of cholecystitis resulting in a gallstone fistula with a gastric duplication cyst. A 71 year old patient presented with generalised peritonism that was worst in the epigastric area. Computer tomography (CT) revealed a perforated necrotic gallbladder. Emergency laparotomy, cholecystectomy, partial gastrectomy and Roux-en-Y reconstruction was required. The patient made a slow but full recovery. Pathology results revealed that chronic cholecystitis had resulted in a fistula with a duplication cyst overlying the greater curve of the stomach. Several one centimeter gallstones were found within the cyst cavity. (© JSCR.)
Databáze:	MEDLINE
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