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A Rare Case of Biliobiliary Fistula
Author(s) -
SATO Hideki,
KANEMASA Kazuyuki,
TANINO Masamichi,
KIMURA Tsugihiro,
MAENOU Kenji,
MITSUFUJI Shouji,
MARUYAMA Kyouhei,
KODAMA Tadashi,
KASHIMA Kei,
TERAMAE Naoki,
FUKUI Susumu,
KAGAWA Keizo
Publication year - 1996
Publication title -
digestive endoscopy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.5
H-Index - 56
eISSN - 1443-1661
pISSN - 0915-5635
DOI - 10.1111/j.1443-1661.1996.tb00412.x
Subject(s) - medicine , endoscopic retrograde cholangiopancreatography , fistula , gallbladder , cystic duct , common bile duct , cholecystectomy , asymptomatic , jaundice , bile duct , biliary fistula , common hepatic duct , malignancy , radiology , surgery , general surgery , pancreatitis
Biliobiliary fistula is a rare clinical entity. The case of a 72 year old female, who presented with epigastric pain and jaundice, is detailed herein. Endoscopic retrograde cholangiopancreatography (ERCP) revealed two stones, one each in the common bile duct and the gallbladder. Continuous endoscopic nasobiliary drainage (ENBD) was performed to relieve obstructive jaundice. Further study with contrast medium administered via the ENBD tube revealed a fistula between the neck of the gallbladder and the common bile duct. The cystic duct was intact. A stone was considered to have migrated into the common bile duct through the fistula. A diagnosis of biliobiliary fistula, Corlette type I was made. However, in this particular case, a biliobiliary fistula was noted at a site below the junction of the cystic duct and common bile duct. Removal of the gallbladder stones was followed by cholecystectomy. The common bile duct was then repaired by utilizing a T‐tube. No evidence of malignancy was recognized in the resected gallbladder specimen. In the one year to date since surgery, the patient has been asymptomatic and without signs of biliary disease.