Cholecystoduodenal fistula: An uncommon cause of massive hemorrhage of upper gastrointestinal tract

Physical examination revealed body temperature of 37°C, heart rate of 64 beats per minute, respiratory rate of 18 breaths per minute, and blood pressure of 110/70 mmHg (1 mmHg = 0.133 kPa). Postoperative pathological examination revealed chronic cholecystitis, acute hemorrhage, and gallbladder stone...

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Bibliographic Details
Published in:The Kaohsiung journal of medical sciences 2021-05, Vol.37 (5), p.436-437
Main Authors: Cao, You‐Hong, Qiao, Zhen‐Guo, Xu, Dong
Format: Article
Language:English
Subjects:
Abdomen
Anti-Inflammatory Agents - pharmacology
Bile
Bile Ducts - pathology
Cholangiopancreatography, Magnetic Resonance
Cholecystectomy
Conflicts of interest
Embolization
Endoscopy
Fistula
Gallbladder
Gallbladder diseases
Gastrointestinal Hemorrhage - complications
Gastrointestinal Hemorrhage - physiopathology
Gastrointestinal system
Gastroscopy - methods
Heart beat
Hemorrhage
Hospitalization
Humans
Inflammation
Intestinal Fistula - complications
Intestinal Fistula - physiopathology
Laparoscopy
Localization
Male
Medical imaging
Middle Aged
Small intestine
Upper Gastrointestinal Tract - physiopathology
Veins & arteries
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Summary:Physical examination revealed body temperature of 37°C, heart rate of 64 beats per minute, respiratory rate of 18 breaths per minute, and blood pressure of 110/70 mmHg (1 mmHg = 0.133 kPa). Postoperative pathological examination revealed chronic cholecystitis, acute hemorrhage, and gallbladder stone (G) Arterial pseudoaneurysm is an uncommon cause of hemobilia that typically involves the hepatic or gastroduodenal artery and may affect the cystic artery. 1,2 A previous study has described cystic artery pseudoaneurysms that occurred after laparoscopic cholecystectomy or interventions in the biliary tract. 3 The aneurysms were attributed to inflammation in the vicinity of the vessel, which was thought to have caused rupture into the gallbladder cystic duct or bile duct with resultant hemobilia. When blood clots cause bile duct obstruction or obstructive jaundice, further surgical treatment will be needed.
ISSN:1607-551X
2410-8650
DOI:10.1002/kjm2.12351