A case of gallstone ileus caused by cholecystogastric fistula with carcinoma of the gallbladder

• HASUMI Keizo

  Division of Gastroenterology, Department of Internal Medicine, Tokai University School of Medicine (Jsehara)

• SUZUKI Takayoshi

  Division of Gastroenterology, Department of Internal Medicine, Tokai University School of Medicine (Jsehara)

• SAITOH Shin

  Division of Gastroenterology, Department of Internal Medicine, Tokai University School of Medicine (Jsehara)

• OTANI Yasuo

  Department of Surgery, Tokai University School of Medicine (Isehara)

• MINE Tetsuya

  Division of Gastroenterology, Department of Internal Medicine, Tokai University School of Medicine (Jsehara)

Bibliographic Information

Other Title

• 胆嚢胃瘻による胆石イレウスの発症を契機に発見された胆嚢癌の1例

Abstract

A 71-years old man was admitted with nausea and vomiting on July 7,2001. Abdominal X-ray films showed air-fluid level in the small bowel and a calcified object sized 2.5 cm in diameter in the right flank. CT scan of the abdomen revealed the calcified object in the small bowel associated with proximal dilatation. CT also demonstrated the contracted gallbladder, pneumobilia, and a fistula between the gallbladder and the gastric antrum. Based on these findings, it was thought that the patient developed cholecystogastric fistula and small bowel obstruction due to a gallstone. He was treated conservatively and obstruction resolved after passage of the gallstone into stool on the third hospital day. He was initially treated with TPN. However, the cholecystogastric fistula remained open one month later. Therefore, he underwent cholecystectomy and fistulectomy. Pathological examination of the surgical specimen revealed cancer partly in the gallbladder. Because a biliary fistula could develop ascending cholangitis and gallbladder cancer, surgical repair should be considered if it does not close spontaneously.

Journal

• Tando

  Tando 16 (1), 43-49, 2002

  Japan Biliary Association

Keywords

• 胆石イレウス
• 胆嚢胃瘻
• 胆嚢癌

Details

• CRID: 1390001205465756288
• NII Article ID: 10008363373
• NII Book ID: AN10062001
• DOI: 10.11210/tando1987.16.1_43
• ISSN: 09140077
• Web Site: https://search.jamas.or.jp/link/ui/2002181017
• Text Lang: ja
• Data Source:
  • JaLC
  • CiNii Articles
• Abstract License Flag: Disallowed