Case Reports in Clinical Medicine

Volume 3, Issue 9 (September 2014)

ISSN Print: 2325-7075   ISSN Online: 2325-7083

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A Rare Cause of Gastrointestinal Bleeding: Cholecystoenteric Fistula

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DOI: 10.4236/crcm.2014.39114    3,337 Downloads   3,749 Views  

ABSTRACT

A 60-year-old woman presented to the emergency department of our university hospital for several episodes of upper gastro-intestinal bleeding (hematemesis and melena). The endoscopic examination (Figure 1) showed a large ulcer at the front of the bulb, with a calculation within it and a visible vessel on the banks of the ulcer treated by putting two clips. Computer tomography (CT), demonstrated a sclerotic, atrophic and multi gallstone gallbladder, with a calculation protruding in the duodenum. The patient underwent surgery which consisted on partial cholecystectomy with duodenal suture and closing of cystic duct.

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Charif, I. , Benhammane, H. , Benajah, D. , Laalim, S. , Mazaz, K. , Ibrahimi, A. and Yousfi, M. (2014) A Rare Cause of Gastrointestinal Bleeding: Cholecystoenteric Fistula. Case Reports in Clinical Medicine, 3, 521-523. doi: 10.4236/crcm.2014.39114.

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