Walia Darshan Jit Singh, Singla Anand, Singh Sandeep, Dua Jasmeen
Department of General Surgery, GMC and Rajindra Hospital, Patiala, Punjab, India.
Department of Medicine, GMC and Rajindra Hospital, Patiala, Punjab, India.
Int J Appl Basic Med Res. 2023 Apr-Jun;13(2):121-123. doi: 10.4103/ijabmr.ijabmr_598_22. Epub 2023 Jul 17.
Cholecystoduodenal and cholecystocolic fistula (CCF) is a rare condition, occurring in patients with cholelithiasis. Multiple complex fistulas are even rare. This is a case study done to detail such a rare case, very few such cases have been reported in the past studies, with cholecystoduodenal and CCF with gallstone ileus. We present the case of an 80-year-old, female diagnosed with intestinal obstruction. Intraoperatively, the gallbladder (GB) fundus forms a CCF and the body of the GB with the first part of the duodenum forms cholecystoduodenal fistula. Gallstone ileus found impacted in jejunum 35 cm distal to DJ junction. Resection of fistula tracts with primary repair of the transverse colon was done with Graham's patch repair of duodenum and fundus first cholecystectomy. Cholecysto-duodeno-colic fistulas complicated with gallstone ileus are very rare. In the case of gallstone ileus, the surgical treatment is an emergency and the only therapeutic option.
胆囊十二指肠瘘和胆囊结肠瘘（CCF）是一种罕见的病症，发生于胆结石患者中。多发复杂瘘更为罕见。这是一项详细描述此类罕见病例的案例研究，过去的研究中报道的此类病例极少，该病例为胆囊十二指肠瘘合并CCF及胆石性肠梗阻。我们呈现了一名80岁女性被诊断为肠梗阻的病例。术中，胆囊底部形成CCF，胆囊体与十二指肠第一部形成胆囊十二指肠瘘。在十二指肠空肠交界处远端35厘米处的空肠发现胆石性肠梗阻。先对十二指肠和胆囊底部进行格雷厄姆补片修补，然后切除瘘管并对横结肠进行一期修复，同时实施胆囊切除术。胆囊十二指肠结肠瘘合并胆石性肠梗阻非常罕见。对于胆石性肠梗阻，手术治疗是紧急且唯一的治疗选择。
