Large cholelithiasis with cholecystoduodenal fistula.
Publication/Presentation Date
3-1-2021
Abstract
Cholelithiasis is a common gastrointestinal pathology that can lead to rare complications including cholecystoduodenal fistulas and GI hemorrhage. Diagnosing cholelithiasis and cholecystoduodenal fistulas in the emergency department (ED) using computed tomography (CT) imaging despite nonspecific and variable symptoms is critical in determining management strategies for medically complex patients. An 87-year-old medically complex female presented to the ED in hemorrhagic shock after several episodes of hematemesis, hematochezia, and other nonspecific gastrointestinal symptoms. A CT of the abdomen/pelvis was performed revealing cholecystitis with a large 6-cm stone; additionally, a biliary enteric fistula was noted with blood products in the gallbladder. This case highlights the importance of CT imaging in the setting of gastrointestinal bleeding with cholelithiasis and biliary enteric fistula diagnosis, and discusses potential management strategies of these diagnoses in medically complex patients.
Volume
16
Issue
3
First Page
661
Last Page
663
ISSN
1930-0433
Published In/Presented At
Gupta, A., Lieberman, J. D., Isaza, F. S., Browning, C. J., & Quinn, S. M. (2021). Large cholelithiasis with cholecystoduodenal fistula. Radiology case reports, 16(3), 661–663. https://doi.org/10.1016/j.radcr.2020.12.056
Disciplines
Emergency Medicine | Surgery
PubMedID
33488894
Peer Reviewed for front end display
Peer-Reviewed
Department(s)
Department of Emergency Medicine, Department of Emergency Medicine Faculty, Department of Emergency Medicine Residents, Department of Surgery, Department of Surgery Residents
Document Type
Article