Gallstone Bezoar Following Cholecystogastric Fistula: a Rare Sequelae of Cholelithiasis

Gallstone Bezoar Following Cholecystogastric Fistula: a Rare Sequelae of Cholelithiasis

Cholecystogastric fistula is a rare biliary-enteric fistula with a variable clinical presentation. Despite modern diagnostic tools, a high index of suspicion is needed to diagnose it preoperatively. Stone migration into stomach forming gallstone bezoar is very rare. Stones more than 2.5 cm are likel...

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Bibliographic Details
Published in:Indian journal of surgery Vol. 77; no. Suppl 3; pp. 1403 - 1404
Main Authors: Purandare, S. N., Patil, Brijesh, Chakane, Milind, Jadhav, S. E.
Format: Journal Article
Language:English
Published: New Delhi Springer India 01-12-2015
Springer
Springer Nature B.V
Subjects:
Cardiac Surgery
Cholecystectomy
Fistulas
Gallstones
Images in Surgery
Medicine
Medicine & Public Health
Neurosurgery
Pediatric Surgery
Plastic Surgery
Stomach
Surgery
Thoracic Surgery
Biliary fistulas
Bezoar
Cholecystogastric fistula
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Summary:Cholecystogastric fistula is a rare biliary-enteric fistula with a variable clinical presentation. Despite modern diagnostic tools, a high index of suspicion is needed to diagnose it preoperatively. Stone migration into stomach forming gallstone bezoar is very rare. Stones more than 2.5 cm are likely to cause obstruction. We report a case of gallstone bezoar of size 9 × 5 cm lying in the stomach with a small fistulous opening in the prepyloric region of the stomach. Patient was thoroughly investigated and successfully treated with retrieval of bezoar and cholecystectomy.
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ISSN:0972-2068
0973-9793
DOI:10.1007/s12262-014-1114-6