gallstone fistula with a gastric duplication cyst: an unusual complication of cholecystitis

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ID: 132719
2010
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Ranked #114 of 124 articles by views in Social science & medicine (1982)

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Abstract
Cholecystitis can result in complications if not completely treated. These include gallbladder empyema, perforation and cholecystoenteric fistula.We report the first incidence of cholecystitis resulting in a gallstone fistula with a gastric duplication cyst. A 71 year old patient presented with generalised peritonism that was worst in the epigastric area. Computer tomography (CT) revealed a perforated necrotic gallbladder. Emergency laparotomy, cholecystectomy, partial gastrectomy and Roux-en-Y reconstruction was required. The patient made a slow but full recovery.Pathology results revealed that chronic cholecystitis had resulted in a fistula with a duplication cyst overlying the greater curve of the stomach. Several one centimeter gallstones were found within the cyst cavity.
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Authors ;Jasprit Bhamrah;Phuoc-Tan Diep;John Bennet;Hugh Warren
Journal Social science & medicine (1982)
Year 2010
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