A Rare Cause of Gastrointestinal Bleeding: Cholecystoenteric Fistula


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.

Conflicts of Interest

The authors declare no conflicts of interest.


[1] Saluja, S.S., Ray, S., Gulati, M.S., Pal, S., Sahni, P. and Chattopadhyay, T.K. (2007) Acute Cholecystitis with Massive Upper Gastrointestinal Bleed: A Case Report and Review of the Literature. BMC Gastroenterology, 7, 12.
[2] Nana, G.R., Gibson, M., Speirs, A. and Ramus, J.R. (2013) Upper Gastrointestinal Bleeding: A Rare Complication of Acute Cholecystitis. International Journal of Surgery Case Reports, 4, 761-764.
[3] Glaysher, M.A., Cruttenden-Wood, D. and Szentpali, K. (2014) A Rare Cause of Upper Gastrointestinal Haemorrhage: Ruptured Cystic Artery Pseudoaneurysm with Concurrent Cholecystojejunal Fistula. International Journal of Surgery Case Reports, 5, 1-4.

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