| [Xanthogranulomatous cholecystitis associated with a suspicious colonic fistula and its spontaneous resolution]. | |
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MedLine Citation:
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PMID: 19420874 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Fistula between the gallbladder and colon is a rare condition. Even more infrequent is spontaneous resolution of the fistula. We encountered a case of cholecystocolic fistula associated with xanthogranulomatous cholecystitis (XGC) that was diagnosed definitively using CT, MRI, and colonoscopy. An 82-year-old woman with no remarkable medical history presented with fever and right hypochondralgia that had continued for 8 days. Abdominal ultrasound showed a hyperechoic area as air in the lumen of the gallbladder with a hypertrophic wall. Contrast-enhanced CT, with the peripheral layer enhanced homogeneously by contrast medium, indicated air in the gallbladder with a thickened wall. Furthermore, MRI and colonoscopy revealed a fistula between the gallbladder and transverse colon strongly suggested. Those findings suggested cholecystocolic fistula associated with XGC. The patient was treated initially by administration of antibiotics, while fasting. Unfortunately, surgical specimens did not show the fistula, thus it was decided that the existence of cholecystocolic fistula with spontaneous resolution were highly suspected by the clinical course and imaging in this patient. |
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Authors:
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Ayako Saito; Makoto Takano; Naohiko Gunji; Kenya Watanabe; Ryoichi Ishihata; Yasufumi Utsumi; Hiroyuki Igari; Atsushi Irisawa; Hiromasa Ohira |
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Publication Detail:
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Type: Case Reports; English Abstract; Journal Article |
Journal Detail:
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Title: Nihon Shokakibyo Gakkai zasshi = The Japanese journal of gastro-enterology Volume: 106 ISSN: 0446-6586 ISO Abbreviation: Nihon Shokakibyo Gakkai Zasshi Publication Date: 2009 May |
Date Detail:
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Created Date: 2009-05-07 Completed Date: 2009-08-04 Revised Date: 2011-08-02 |
Medline Journal Info:
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Nlm Unique ID: 2984683R Medline TA: Nihon Shokakibyo Gakkai Zasshi Country: Japan |
Other Details:
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Languages: jpn Pagination: 691-7 Citation Subset: IM |
Affiliation:
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Division of Gastroenterology, Ohara General Hospital. ayaaya@ohara-hp.or.jp |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged, 80 and over Biliary Fistula / diagnosis, etiology*, pathology Cholecystitis / complications*, diagnosis, pathology Colonic Diseases / diagnosis, etiology*, pathology Diagnostic Imaging Female Gallbladder Diseases / diagnosis, etiology*, pathology Humans Intestinal Fistula / diagnosis, etiology*, pathology Remission, Spontaneous* Xanthomatosis / complications*, diagnosis, pathology |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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