Ozkan Aybars, Ozaydin Ismet, Kaya Murat, Kucuk Adem, Katranci Ali Osman
Department of Pediatric Surgery, Medical Faculty, Duzce University, Duzce, Turkey.
Department of General Surgery, Medical Faculty, Duzce University, Duzce, Turkey.
Am J Case Rep. 2014 Jan 14;15:18-21. doi: 10.12659/AJCR.889903. eCollection 2014.
Female, 16 FINAL DIAGNOSIS: Malrotation and cholecystoduodenal fistula Symptoms: Abdominal pain • anorexia • fever • nausea • vomiting
Anatomical anomaly/variation.
Cholecystoduodenal fistula (CDF) is the most common cholecystenteric fistula. It is a late complication of gallbladder disease with calculus and is mainly encountered in the elderly and females.
We report the case of a teenage patient with cholecystoduodenal fistula and malrotation. Direct plain abdominal x-ray demonstrated air in the biliary system. Computed tomography revealed CDF-associated with an anomaly of intestinal malrotation. She had gallstones (with a few stones in the gallbladder) and cholecystitis. CDF is caused by malrotation, and cholecystitis has not been reported before. In this regard our patient is the first and youngest reported case.
We suggest that CDF is probably a consequence of malrotation. The patient's clinical features and operative management are presented and discussed with current literature.
女性，16岁 最终诊断：肠旋转不良并胆囊十二指肠瘘 症状：腹痛、厌食、发热、恶心、呕吐
解剖异常/变异
胆囊十二指肠瘘（CDF）是最常见的胆囊肠瘘。它是胆囊结石疾病的晚期并发症，主要见于老年人和女性。
我们报告一例患有胆囊十二指肠瘘和肠旋转不良的青少年患者。腹部直接平片显示胆道系统内有气体。计算机断层扫描显示CDF与肠旋转不良异常相关。她有胆结石（胆囊内有几颗结石）和胆囊炎。CDF由肠旋转不良引起，此前未见胆囊炎的报道。就此而言，我们的患者是首例且是报道的最年轻病例。
我们认为CDF可能是肠旋转不良的结果。本文展示了该患者的临床特征并结合当前文献对手术治疗进行了讨论。
