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Massive upper gastrointestinal bleeding: a rare complication of cholecystoduodenal fistula.

Abstract

A biliary fistula which may occur spontaneously or after surgery, is an abnormal communication from the biliary system to an organ, cavity or free surface. Spontaneous biliary-enteric fistula is a rare complication of gallbladder pathology, with over 90% of them secondary to cholelithiasis. Approximately 6% are due to perforating peptic ulcers. Symptoms of biliary-enteric fistula varies widely and usually non-specific, mimicking any chronic biliary disease. Cholecystoduodenal fistula causing severe upper gastrointestinal (UGI) bleed is very rare. Bleeding cholecystoduodenal fistula commonly requires surgical resection of the fistula and repair of the duodenal perforation. We describe the case of a previously healthy older patient who initially presented with symptoms suggestive of UGI bleeding. Bleeding could not be controlled endoscopically. When a laparotomy was performed, a cholecystoduodenal fistula was discovered and bleeding was noted to originate from the superficial branch of cystic artery.

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  • Publisher Full Text
  • Authors+Show Affiliations

    ,

    Hepatobiliary Department, Hospital Sultanah Bahiyah, Alor Setar, Malaysia.

    ,

    General Surgery, Universiti Kebangsaan Malaysia Fakulti Perubatan, Selangor, Malaysia.

    ,

    Hepatobiliary Department, Hospital Sultanah Bahiyah, Alor Setar, Malaysia.

    Hepatobiliary Surgery, Hospital Sultanah Bahiyah, Alor Setar, Malaysia.

    Source

    BMJ case reports 12:5 2019 May 10 pg

    Pub Type(s)

    Journal Article

    Language

    eng

    PubMed ID

    31079042

    Citation

    Vadioaloo, Dinesh Kumar, et al. "Massive Upper Gastrointestinal Bleeding: a Rare Complication of Cholecystoduodenal Fistula." BMJ Case Reports, vol. 12, no. 5, 2019.
    Vadioaloo DK, Loo GH, Leow VM, et al. Massive upper gastrointestinal bleeding: a rare complication of cholecystoduodenal fistula. BMJ Case Rep. 2019;12(5).
    Vadioaloo, D. K., Loo, G. H., Leow, V. M., & Subramaniam, M. (2019). Massive upper gastrointestinal bleeding: a rare complication of cholecystoduodenal fistula. BMJ Case Reports, 12(5), doi:10.1136/bcr-2018-228654.
    Vadioaloo DK, et al. Massive Upper Gastrointestinal Bleeding: a Rare Complication of Cholecystoduodenal Fistula. BMJ Case Rep. 2019 May 10;12(5) PubMed PMID: 31079042.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Massive upper gastrointestinal bleeding: a rare complication of cholecystoduodenal fistula. AU - Vadioaloo,Dinesh Kumar, AU - Loo,Guo Hou, AU - Leow,Voon Meng, AU - Subramaniam,Manisekar, Y1 - 2019/05/10/ PY - 2019/5/13/entrez PY - 2019/5/13/pubmed PY - 2019/5/13/medline KW - GI bleeding KW - general surgery KW - pancreas and biliary tract JF - BMJ case reports JO - BMJ Case Rep VL - 12 IS - 5 N2 - A biliary fistula which may occur spontaneously or after surgery, is an abnormal communication from the biliary system to an organ, cavity or free surface. Spontaneous biliary-enteric fistula is a rare complication of gallbladder pathology, with over 90% of them secondary to cholelithiasis. Approximately 6% are due to perforating peptic ulcers. Symptoms of biliary-enteric fistula varies widely and usually non-specific, mimicking any chronic biliary disease. Cholecystoduodenal fistula causing severe upper gastrointestinal (UGI) bleed is very rare. Bleeding cholecystoduodenal fistula commonly requires surgical resection of the fistula and repair of the duodenal perforation. We describe the case of a previously healthy older patient who initially presented with symptoms suggestive of UGI bleeding. Bleeding could not be controlled endoscopically. When a laparotomy was performed, a cholecystoduodenal fistula was discovered and bleeding was noted to originate from the superficial branch of cystic artery. SN - 1757-790X UR - https://www.unboundmedicine.com/medline/citation/31079042/Massive_upper_gastrointestinal_bleeding:_a_rare_complication_of_cholecystoduodenal_fistula L2 - http://casereports.bmj.com/cgi/pmidlookup?view=long&pmid=31079042 DB - PRIME DP - Unbound Medicine ER -