イレウスを契機に診断された胆嚢胃瘻の1例

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  • A CASE OF CHOLECYSTOGASTRIC FISTULA ASSOCIATED WITH ILEUS

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Cholecystogastric fistula that is one of the spontaneous internal biliary fistula is relatively rare. We report a case of the disease associated with intestinal obstruction with a review of the literature. A 77-year-old woman was seen at the hospital because of nausea and vomiting. Abdominal X-ray film showed niveau and pneumobilia Ultrasonography (US) showed gallbladder stone, thus gallstone ileus was suspected. But abdominal CT did not reveal any stone in the intestine, and so we could not prove that this ileus was gallstone ileus UGI did not reveal fistula, but GIF revealed fistula in anterior wall, lesser curvature and antrum of the stomach.<br> ERCP examination detected that contrast medium flowed from the gallbladder to stomach through this fistula.<br> The diagnosis of cholecystogastric fistula was made and the gastric wall around the fistula with gallbladder was resected.

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