Okubo Hitoshi, Nogawa Tatsuhiko, Jibiki Masaaki
Department of Surgery and Gastroenterology, Chiwata Hospital.
Nihon Shokakibyo Gakkai Zasshi. 2006 Oct;103(10):1157-62.
A 47-year-old woman complaining of diarrhea and vomiting was admitted on the suspicion of gallstone ileus 4 days after onset. Upper gastrointestinal radiography by Gastrografin showed a cholecystoduodenal fistula. Laparoscopic-assisted simple enterolithotomy was performed. The omentum was severely adherent to the gall bladder and fistula, though biliary surgery was not performed. Without second look operation, for cholecystoduodenal fistula closed spontaneously.
一名47岁女性因腹泻和呕吐入院,发病4天后怀疑为胆石性肠梗阻。泛影葡胺上消化道造影显示胆囊十二指肠瘘。行腹腔镜辅助单纯肠石切除术。虽然未进行胆道手术,但大网膜与胆囊和瘘管严重粘连。未进行二次探查手术,胆囊十二指肠瘘自行闭合。