| Popis: |
A 40-year-old male patient is reported, in whom a congenital cholecystic duct duodenal fistula was found and excised during surgery for gastric ulcer. Operative and histopathological findings showed absence of definite inflammatory changes suggestive of a spontaneous biliary fistula and there was normal bile duct mucosa, accessory glands and smooth muscle in the wall of the fistula, thus suggesting a congenital nature.Complication of a choledochal cyst, not accompanied by any anomalous arrangement of the pancreaticobiliary ductal system, was also observed.Congenital cholecystic duct duodenal fistula appears to be a very rare anomaly and so far we have been unable to find any such case in the literature. |
