Park JM, Kang CD, Kim JH, Lee SH, Nam SJ, Park SC, Lee SJ, Lee S. Cholecystoduodenal fistula presenting with upper gastrointestinal bleeding: A case report. World J Clin Cases 2021; 9(2): 410-415 [PMID: 33521109 DOI: 10.12998/wjcc.v9.i2.410]
Corresponding Author of This Article
Chang Don Kang, MD, PhD, Doctor, Professor, Department of Gastroenterology, Kangwon National University Hospital, Baengnyeong-ro 156, Chuncheon 24289, Kangwon Do, South Korea. kcdcejhw@kangwon.ac.kr
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Jan 16, 2021; 9(2): 410-415 Published online Jan 16, 2021. doi: 10.12998/wjcc.v9.i2.410
Cholecystoduodenal fistula presenting with upper gastrointestinal bleeding: A case report
Jin Myung Park, Chang Don Kang, Ji Hyun Kim, Sang Hoon Lee, Seung-Joo Nam, Sung Chul Park, Sung Joon Lee, Seungkoo Lee
Jin Myung Park, Chang Don Kang, Ji Hyun Kim, Sang Hoon Lee, Seung-Joo Nam, Sung Chul Park, Sung Joon Lee, Department of Internal Medicine, Kangwon National University School of Medicine, Chuncheon 24289, Kangwon Do, South Korea
Jin Myung Park, Chang Don Kang, Ji Hyun Kim, Sang Hoon Lee, Seung-Joo Nam, Sung Chul Park, Sung Joon Lee, Department of Gastroenterology, Kangwon National University Hospital, Chuncheon 24289, Kangwon Do, South Korea
Seungkoo Lee, Anatomy and Pathology, Kangwon National University School of Medicine, Chuncheon 200947, Kangwon Do, South Korea
Seungkoo Lee, Department of Pathology, Kangwon National University Hospital, Chuncheon 24289, Kangwon Do, South Korea
Author contributions: Park JM was the patient’s doctor; Park JM and Kim JH performed endoscopy; Park JM and Kang CD reviewed the literature and contributed to manuscript drafting; Lee SH, Nam SJ, Park SC, and Lee SJ reviewed images and contributed to manuscript drafting; Lee SK performed histological analysis.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: Authors declare no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Chang Don Kang, MD, PhD, Doctor, Professor, Department of Gastroenterology, Kangwon National University Hospital, Baengnyeong-ro 156, Chuncheon 24289, Kangwon Do, South Korea. kcdcejhw@kangwon.ac.kr
Received: October 5, 2020 Peer-review started: October 5, 2020 First decision: October 27, 2020 Revised: December 1, 2020 Accepted: December 11, 2020 Article in press: December 11, 2020 Published online: January 16, 2021 Processing time: 88 Days and 2.5 Hours
Abstract
BACKGROUND
Cholecystoduodenal fistula is a rare complication of cholelithiasis. Symptoms are usually non-specific and often indistinguishable from those of etiologic diseases, but it rarely presents as severe gastrointestinal bleeding. Bleeding associated with cholecystoduodenal fistula usually requires surgery because significant bleeding from the cystic artery is unlikely to be resolved by conservative management or endoscopic hemostasis.
CASE SUMMARY
We report a case of cholecystoduodenal fistula that presented with hematemesis which was diagnosed by endoscopy and computed tomography. Endoscopic hemostasis could not be achieved, but surgical treatment was successful. Additionally, we have presented a literature review.
CONCLUSION
Cholecystoduodenal fistula should be considered as differential diagnosis when a patient with history of gallstone disease presents with gastrointestinal bleeding.
Core Tip: Cholecystoenteric fistula, an abnormal communication from gallbladder to the gastrointestinal tract, is a rare complication of cholelithiasis. It is a type of internal biliary fistula that occurs secondary to cholelithiasis in more than 90% of cases. The clinical presentation of cholecystoenteric fistula is variable, and a preoperative diagnosis is achieved rarely, while gastrointestinal bleeding as its initial presentation is also rare. Here, we report a case of cholecystoduodenal fistula that presented with hypovolemic shock due to massive upper gastrointestinal bleeding.
