BRIEF RESEARCH REPORT article
Front. Surg.
Sec. Visceral Surgery
Volume 12 - 2025 | doi: 10.3389/fsurg.2025.1617555
Accidental discovery of cholecystoduodenal fistula during laparoscopic cholecystectomy：A case report
Provisionally accepted
- The People's Hospital of Lezhi, Ziyang, China
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Abstract： Cholecystoduodenal fistula (CEF)is a rare complication of cholelithiasis.Sometimes,preoperative examination does not fully detect CEF and may have an impact on the conduct of the surgery.Sometimes,clinicians fail to accurately determine the presence of CEF, which may have an impact on the conduct of the procedure.Here, we report the diagnosis and management of a patient with a cholecystoduodenal fistula that was accidentally detected intraoperatively.The patient was hospitalized twice in our hospital due to excessive inflammation around the gallbladder and combined with choledochal stones. During the second hospitalization, a cholecystoduodenal fistula was accidentally found during laparoscopic cholecystectomy(LC).We repair the fistula, ligate the cystic duct and remove the gallbladder laparoscopically while ensuring patient safety.In the absence of preoperative detection of a cholecystoenteric fistula (CEF), intraoperative judgment and postoperative management are of particular importance, which is what will be discussed in this article.
Keywords: Gallbladder, Duodenum, Cholecystoduodenal fistula, Gallbladder stones, endovascular fistula
Received: 24 Apr 2025; Accepted: 05 Jun 2025.
Copyright: © 2025 Huang, Tian, Deng, Zhu, Tian, Yang, Xia and Pan. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Wei Pan, The People's Hospital of Lezhi, Ziyang, China
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