A rare gastrointestinal bleeding due to a cholecystoduodenal fistula: a case report
Abstract Background Gastrointestinal bleeding from cholecystoduodenal fistula is rare. It is usually managed surgically, although a conservative approach is reported in isolated cases. Case presentation A 71-year-old male patient was admitted to the emergency department (ED) presenting melena associ...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
SpringerOpen
2023-10-01
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| Series: | Egyptian Liver Journal |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s43066-023-00292-6 |
| _version_ | 1797578014600462336 |
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| author | Maddalena Zippi Antonella Toma Wandong Hong Sirio Fiorino Alfonso Grottesi |
| author_facet | Maddalena Zippi Antonella Toma Wandong Hong Sirio Fiorino Alfonso Grottesi |
| author_sort | Maddalena Zippi |
| collection | DOAJ |
| description | Abstract Background Gastrointestinal bleeding from cholecystoduodenal fistula is rare. It is usually managed surgically, although a conservative approach is reported in isolated cases. Case presentation A 71-year-old male patient was admitted to the emergency department (ED) presenting melena associated with severe anemia, requiring a blood transfusion. An urgent upper endoscopy showed the intestinal orifice of a cholecystoduodenal fistula. This finding was confirmed by radiological examination and laparoscopy. Cholecystectomy and simultaneous excision of the fistula were successfully performed. As a result, a diagnosis of Mirizzi syndrome type Va was also made. Conclusion A cholecystoduodenal fistula orifice leading to gastrointestinal bleeding is difficult to diagnose without an endoscopic examination of the upper digestive tract. Following this first diagnostic step, a comprehensive patient examination should be conducted, specifically if a history of gallbladder lithiasis has been reported. |
| first_indexed | 2024-03-10T22:17:04Z |
| format | Article |
| id | doaj.art-58dff9124d584bf0b51919a6aafe8ada |
| institution | Directory Open Access Journal |
| issn | 2090-6226 |
| language | English |
| last_indexed | 2024-03-10T22:17:04Z |
| publishDate | 2023-10-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | Egyptian Liver Journal |
| spelling | doaj.art-58dff9124d584bf0b51919a6aafe8ada2023-11-19T12:24:55ZengSpringerOpenEgyptian Liver Journal2090-62262023-10-011311310.1186/s43066-023-00292-6A rare gastrointestinal bleeding due to a cholecystoduodenal fistula: a case reportMaddalena Zippi0Antonella Toma1Wandong Hong2Sirio Fiorino3Alfonso Grottesi4Unit of Gastroenterology and Digestive Endoscopy, Sandro Pertini HospitalUnit of Urgent Digestive Endoscopy, Sandro Pertini HospitalDepartment of Gastroenterology and Hepatology, The First Affiliated Hospital of Wenzhou Medical UniversityInternal Medicine Unit, Budrio Hospital Azienda USLUnit of General Surgery, Sandro Pertini HospitalAbstract Background Gastrointestinal bleeding from cholecystoduodenal fistula is rare. It is usually managed surgically, although a conservative approach is reported in isolated cases. Case presentation A 71-year-old male patient was admitted to the emergency department (ED) presenting melena associated with severe anemia, requiring a blood transfusion. An urgent upper endoscopy showed the intestinal orifice of a cholecystoduodenal fistula. This finding was confirmed by radiological examination and laparoscopy. Cholecystectomy and simultaneous excision of the fistula were successfully performed. As a result, a diagnosis of Mirizzi syndrome type Va was also made. Conclusion A cholecystoduodenal fistula orifice leading to gastrointestinal bleeding is difficult to diagnose without an endoscopic examination of the upper digestive tract. Following this first diagnostic step, a comprehensive patient examination should be conducted, specifically if a history of gallbladder lithiasis has been reported.https://doi.org/10.1186/s43066-023-00292-6Cholecystoduodenal fistulaGastrointestinal bleedingMirizzi syndromeSurgery |
| spellingShingle | Maddalena Zippi Antonella Toma Wandong Hong Sirio Fiorino Alfonso Grottesi A rare gastrointestinal bleeding due to a cholecystoduodenal fistula: a case report Egyptian Liver Journal Cholecystoduodenal fistula Gastrointestinal bleeding Mirizzi syndrome Surgery |
| title | A rare gastrointestinal bleeding due to a cholecystoduodenal fistula: a case report |
| title_full | A rare gastrointestinal bleeding due to a cholecystoduodenal fistula: a case report |
| title_fullStr | A rare gastrointestinal bleeding due to a cholecystoduodenal fistula: a case report |
| title_full_unstemmed | A rare gastrointestinal bleeding due to a cholecystoduodenal fistula: a case report |
| title_short | A rare gastrointestinal bleeding due to a cholecystoduodenal fistula: a case report |
| title_sort | rare gastrointestinal bleeding due to a cholecystoduodenal fistula a case report |
| topic | Cholecystoduodenal fistula Gastrointestinal bleeding Mirizzi syndrome Surgery |
| url | https://doi.org/10.1186/s43066-023-00292-6 |
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