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Review
. 2021 Oct 25:10:S2239253X21036483.

Cholecystogastric fistula. A case report and literature review

Gabriele D'Amata, Mauro Del Papa, Isabella Palmieri, Fulvio Manzi, Luca Musmeci, Gaetano Florio, Valeria Buonocore, Martino Demoro, Fabio Antonellis
  • PMID: 34982734
Review

Cholecystogastric fistula. A case report and literature review

Gabriele D'Amata et al. Ann Ital Chir. .

Abstract
in English, Italian

Cholecystogastric fistulas is a rare complication of gallstone. Even if well described in the literature, this condition still poses a debate on diagnosis and surgical treatment. We present a case of a 35 year's old female which unexpectedly presented a cholecystogastric fistula during a laparoscopic cholecystectomy, treated successfully with fistula transection and repair and cholecystectomy through an open access. The open access remains the preferable option in this cases but laparoscopic techniques are being used worldwide with increasing success. The preoperative diagnosis remains difficult for the unspecific symptoms. KEY WORDS: Biliodigestive Fistula, Gallstone Ileus, Gastric Fistula, Biliary Fistula, Cholecystitis.

La fistola colecisto-gastrica è una rara complicanza della calcolosi biliare. Anche se ben descritta in Letteratura, questa condizione rappresente ancora una fonte di controversi sulla diagnosi ed il trattamento. Presentiamo il caso di una donna di 35 anni che inaspettatamente ha presentato in corso di colecistectomia laparoscopica una fistola colecisto-gastrica, trattata con successo con la transezione della fistola e colecistectomia con accesso laparotomico. L’accesso open rimane quello raccomandato per questa rara condizione tuttavia una riparazione laparoscopica viene proposta da diversi autori con sempre maggiore frequenza. La diagnosi preoperatoria resta comunque difficile a causa della sintomatologia aspecifica.

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