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14 January 2014 : Case report  Turkey

Malrotation-associated cholecystoduodenal fistula

Unusual clinical course, Diagnostic / therapeutic accidents, Educational Purpose (only if useful for a systematic review or synthesis)

Aybars OzkanABDEF, Ismet OzaydinADEF, Murat KayaBDEF, Adem KucukADEF, Ali Osman KatranciABDEF

DOI: 10.12659/AJCR.889903

Am J Case Rep 2014; 15:18-21

Abstract

Background: Cholecystoduodenal fistula (CDF) is the most common cholecystenteric fistula. It is a late complication of gall-bladder disease with calculus and is mainly encountered in the elderly and females.
Case Report: We report the case of a teenage patient with cholecystoduodenal fistula and malrotation. Direct plain abdominal x-ray demonstrated air in the biliary system. Computed tomography revealed CDF-associated with an anomaly of intestinal malrotation. She had gallstones (with a few stones in the gallbladder) and cholecystitis. CDF is caused by malrotation, and cholecystitis has not been reported before. In this regard our patient is the first and youngest reported case.
Conclusions: We suggest that CDF is probably a consequence of malrotation. The patient’s clinical features and operative management are presented and discussed with current literature.

Keywords: cholecystoduodenal fistula, Malrotation, Cholecystitis

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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923