TITLE:
A Rare Cause of Gastrointestinal Bleeding: Cholecystoenteric Fistula
AUTHORS:
Iliass Charif, Hossam Benhammane, Dafr-Allah Benajah, Said Ait Laalim, Khalid Mazaz, Adil Ibrahimi, Mounia El Yousfi
KEYWORDS:
Gastrointestinal Bleeding, Cholecystoenteric Fistula
JOURNAL NAME:
Case Reports in Clinical Medicine,
Vol.3 No.9,
September
10,
2014
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.