Jaguś Dominika, Karthik Aakanksha, Tan Zhi Ying, Mlosek Robert Krzysztof, Białek Ewa
Department of Diagnostic Imaging Medical Division, Medical University of Warsaw, Mazovian Brodnowski Hospital, Warsaw, Poland.
Ultrasonography Scientific Circle at the Department of Imaging Diagnostics Medical Division, Medical University of Warsaw, Mazovian Brodnowski Hospital, Warsaw, Poland.
J Ultrason. 2020 Nov;20(82):e214-e217. doi: 10.15557/JoU.2020.0036. Epub 2020 Sep 28.
Gallbladder-duodenal (cholecystoduodenal) fistula is an uncommon bilioenteric fistula between the gallbladder and the duodenum. It usually occurs following a chronic case of cholecystitis upon which the gallbladder adheres to the adjacent duodenum, and a stone penetrates through the wall. The case presented herein is that of a gallbladder-duodenal fistula detected primarily with the use of ultrasound imaging, and subsequently confirmed by computed tomography. The patient is a 54-year-old woman who was admitted with upper abdominal pain. The fistula was caused by chronic cholecystitis, however no gallstones were present in the duodenum. Surgical management was undertaken for the patient, and the recovery was uneventful.
胆囊十二指肠瘘是一种罕见的胆囊与十二指肠之间的胆肠瘘。它通常发生在慢性胆囊炎之后,此时胆囊与相邻的十二指肠粘连,结石穿透肠壁。本文介绍的病例是一例主要通过超声成像检测到的胆囊十二指肠瘘,随后经计算机断层扫描确诊。患者为一名54岁女性,因上腹部疼痛入院。瘘管由慢性胆囊炎引起,但十二指肠内未发现胆结石。对该患者进行了手术治疗,恢复过程顺利。