Pangan J C, Estrada R, Rosales R
Arch Surg. 1984 Oct;119(10):1201-3. doi: 10.1001/archsurg.1984.01390220075017.
The combination of cholecystoduodenocolic fistula with gallstone ileus is rarely seen. To our knowledge, there have only been six previous reports with these findings. A 66-year-old woman's condition was diagnosed preoperatively as small-bowel obstruction and communications between the gallbladder, duodenum, and colon. The small-bowel obstruction was successfully relieved by removing a large gallstone from the midileum, leaving the inflammatory mass in the right upper quadrant undisturbed. Three weeks later the small-bowel obstruction recurred. At reoperation two gallstones were found obstructing the midileum and were removed. The cholecystoduodenocolic fistula was dissected and the duodenum and colon were repaired. A cholecystostomy was done. The patient recovered and has been well four years later.
胆囊十二指肠结肠瘘合并胆石性肠梗阻较为罕见。据我们所知，此前仅有6例相关报道。一名66岁女性患者术前被诊断为小肠梗阻以及胆囊、十二指肠和结肠之间存在连通。通过从中段回肠取出一枚大的胆结石成功解除了小肠梗阻，右上腹的炎性肿块未作处理。三周后小肠梗阻复发。再次手术时发现两枚胆结石阻塞中段回肠并将其取出。对胆囊十二指肠结肠瘘进行了分离，并修复了十二指肠和结肠。实施了胆囊造口术。患者康复，四年后情况良好。
