A Rare Cause of Gastrointestinal Bleeding: Cholecystoenteric Fistula
Author(s)
Iliass Charif*,
Hossam Benhammane,
Dafr-Allah Benajah,
Said Ait Laalim,
Khalid Mazaz,
Adil Ibrahimi,
Mounia El Yousfi
Affiliation(s)
Department of Gastroenterology, Hassan II University Hospital, Faculty of Medicine and Pharmacy of Fez, Sidi Mohammed Ben Abdellah University, Fez, Morocco. Department of Surgery, Hassan II University Hospital, Faculty of Medicine and Pharmacy of Fez, Sidi Mohammed Ben Abdellah University, Fez, Morocco.
Department of Gastroenterology, Hassan II University Hospital, Faculty of Medicine and Pharmacy of Fez, Sidi Mohammed Ben Abdellah University, Fez, Morocco. Department of Surgery, Hassan II University Hospital, Faculty of Medicine and Pharmacy of Fez, Sidi Mohammed Ben Abdellah University, Fez, Morocco.
ABSTRACT
A 60-year-old woman presented to the emergency department of our university hospital for several episodes of upper gastro-intestinal bleeding (hematemesis and melena). The endoscopic examination (Figure 1) showed a large ulcer at the front of the bulb, with a calculation within it and a visible vessel on the banks of the ulcer treated by putting two clips. Computer tomography (CT), demonstrated a sclerotic, atrophic and multi gallstone gallbladder, with a calculation protruding in the duodenum. The patient underwent surgery which consisted on partial cholecystectomy with duodenal suture and closing of cystic duct.
A 60-year-old woman presented to the emergency department of our university hospital for several episodes of upper gastro-intestinal bleeding (hematemesis and melena). The endoscopic examination (Figure 1) showed a large ulcer at the front of the bulb, with a calculation within it and a visible vessel on the banks of the ulcer treated by putting two clips. Computer tomography (CT), demonstrated a sclerotic, atrophic and multi gallstone gallbladder, with a calculation protruding in the duodenum. The patient underwent surgery which consisted on partial cholecystectomy with duodenal suture and closing of cystic duct.
Cite this paper
Charif, I. , Benhammane, H. , Benajah, D. , Laalim, S. , Mazaz, K. , Ibrahimi, A. and Yousfi, M. (2014) A Rare Cause of Gastrointestinal Bleeding: Cholecystoenteric Fistula. Case Reports in Clinical Medicine, 3, 521-523. doi: 10.4236/crcm.2014.39114.
Charif, I. , Benhammane, H. , Benajah, D. , Laalim, S. , Mazaz, K. , Ibrahimi, A. and Yousfi, M. (2014) A Rare Cause of Gastrointestinal Bleeding: Cholecystoenteric Fistula. Case Reports in Clinical Medicine, 3, 521-523. doi: 10.4236/crcm.2014.39114.
References
[1] Saluja, S.S., Ray, S., Gulati, M.S., Pal, S., Sahni, P. and Chattopadhyay, T.K. (2007) Acute Cholecystitis with Massive Upper Gastrointestinal Bleed: A Case Report and Review of the Literature. BMC Gastroenterology, 7, 12.
http://dx.doi.org/10.1186/1471-230X-7-12 [2] Nana, G.R., Gibson, M., Speirs, A. and Ramus, J.R. (2013) Upper Gastrointestinal Bleeding: A Rare Complication of Acute Cholecystitis. International Journal of Surgery Case Reports, 4, 761-764.
http://dx.doi.org/10.1016/j.ijscr.2013.05.016 [3] Glaysher, M.A., Cruttenden-Wood, D. and Szentpali, K. (2014) A Rare Cause of Upper Gastrointestinal Haemorrhage: Ruptured Cystic Artery Pseudoaneurysm with Concurrent Cholecystojejunal Fistula. International Journal of Surgery Case Reports, 5, 1-4.
http://dx.doi.org/10.1016/j.ijscr.2013.11.005
[1] Saluja, S.S., Ray, S., Gulati, M.S., Pal, S., Sahni, P. and Chattopadhyay, T.K. (2007) Acute Cholecystitis with Massive Upper Gastrointestinal Bleed: A Case Report and Review of the Literature. BMC Gastroenterology, 7, 12.
http://dx.doi.org/10.1186/1471-230X-7-12 [2] Nana, G.R., Gibson, M., Speirs, A. and Ramus, J.R. (2013) Upper Gastrointestinal Bleeding: A Rare Complication of Acute Cholecystitis. International Journal of Surgery Case Reports, 4, 761-764.
http://dx.doi.org/10.1016/j.ijscr.2013.05.016 [3] Glaysher, M.A., Cruttenden-Wood, D. and Szentpali, K. (2014) A Rare Cause of Upper Gastrointestinal Haemorrhage: Ruptured Cystic Artery Pseudoaneurysm with Concurrent Cholecystojejunal Fistula. International Journal of Surgery Case Reports, 5, 1-4.
http://dx.doi.org/10.1016/j.ijscr.2013.11.005