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Indian Journal of Surgery
Published in: Indian Journal of Surgery 3/2015

01-12-2015 | Images in Surgery

Gallstone Bezoar Following Cholecystogastric Fistula: a Rare Sequelae of Cholelithiasis

Authors: S. N. Purandare, Brijesh Patil, Milind Chakane, S. E. Jadhav

Published in: Indian Journal of Surgery | Special Issue 3/2015

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Abstract

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.
Literature
1.
Tadros GM, Draganescu JM, Clarke LE, Albornoz MA (2002) Intragastric gallstone-induced bezoar: an unusual cause of acute gastric outlet obstruction. South Med J 95(2):261–264CrossRefPubMed
2.
Shaffer RD, Smollen WJ, Klug T (1978) Endoscopic diagnosis of asymptomatic cholecystogastric fistula. Gastrointest Endosc 24(4):179–180CrossRefPubMed
3.
Kasahara Y, Umemura H, Shiraha S, Kuyama T, Sakata K, Kubota H (1980) Gallstone ileus. Review of 112 patients in the Japanese literature. Am J Surg 140(3):437–440CrossRefPubMed
Metadata
Title
Gallstone Bezoar Following Cholecystogastric Fistula: a Rare Sequelae of Cholelithiasis
Authors
S. N. Purandare
Brijesh Patil
Milind Chakane
S. E. Jadhav
Publication date
01-12-2015
Publisher
Springer India
Published in
Indian Journal of Surgery / Issue Special Issue 3/2015
Print ISSN: 0972-2068
Electronic ISSN: 0973-9793
DOI
https://doi.org/10.1007/s12262-014-1114-6

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