| Acute acalculous cholecystitis associated with cholecystoduodenal fistula and duodenal bleeding. A case report. | |
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MedLine Citation:
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PMID: 12872449 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Although acute acalculous cholecystitis (AAC) accounts for less than 10% of acute cholecystitis in the adult population, gangrene and perforation are much more frequent compared to the usual cases of acute cholecystitis (calculus cholecystitis). However, spontaneous biliary-enteric fistula is well recognized in AAC, 90% of which are cholecystoduodenal fistula (CDF) though it is an uncommon disorder. The majority of the CDF are caused by cholelithiasis. As patients are usually associated with complicated clinical illness, the diagnosis is often difficult to make and required surgery is often delayed. We have studied a rare complication of acute acalculous cholecystitis which was presented as intermittent upper gastrointestinal bleeding. Ulceration of the superficial branch of the cystic artery has been observed due to acalculous cholecystitis associated with a cholecystoduodenal fistula. We have performed a transfixing ligation of the bleeding vessel, cholecystectomy and simple closure of the CDF. We have finally made a diagnosis of early gallbladder cancer through a frozen section. There was no serious complication after the operation and the patient has achieved an uneventful recovery. |
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Authors:
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Sang Bae Lee; Kwang Hyun Ryu; Ji Kon Ryu; Hoi Jin Kim; Jin Kwang Lee; Hyun Seung Jeong; Jin Soo Bae |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: The Korean journal of internal medicine Volume: 18 ISSN: 1226-3303 ISO Abbreviation: Korean J. Intern. Med. Publication Date: 2003 Jun |
Date Detail:
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Created Date: 2003-07-22 Completed Date: 2003-09-16 Revised Date: 2006-09-26 |
Medline Journal Info:
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Nlm Unique ID: 8712418 Medline TA: Korean J Intern Med Country: Korea (South) |
Other Details:
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Languages: eng Pagination: 109-14 Citation Subset: IM |
Affiliation:
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Department of Gastroenterology, Bundang Jesaeng General Hospital, 255-2 Seo-Hyung Dong, Seong-Nam, Kyung-Ki Province, Korea. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Acute Disease Cholecystectomy Cholecystitis / diagnosis* Duodenal Diseases / complications* Gallbladder Neoplasms / diagnosis Gastrointestinal Hemorrhage / etiology* Humans Intestinal Fistula / complications* Male Middle Aged |
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