Accidental discovery of cholecystoduodenal fistula during laparoscopic cholecystectomy: a case report
Cholecystoduodenal fistula (CDF) is a rare complication of cholelithiasis. Sometimes, a preoperative examination does not fully detect CDF and may have an impact on the conduct of the surgery. Sometimes, clinicians fail to accurately determine the presence of CDF, which may have an impact on the con...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2025-08-01
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| Series: | Frontiers in Surgery |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fsurg.2025.1617555/full |
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| author | Rui Huang Jian-Xing Tian Xu Deng Zong-Long Zhu Wei Tian Chun-Yuan Yang Ming Xia Wei Pan |
| author_facet | Rui Huang Jian-Xing Tian Xu Deng Zong-Long Zhu Wei Tian Chun-Yuan Yang Ming Xia Wei Pan |
| author_sort | Rui Huang |
| collection | DOAJ |
| description | Cholecystoduodenal fistula (CDF) is a rare complication of cholelithiasis. Sometimes, a preoperative examination does not fully detect CDF and may have an impact on the conduct of the surgery. Sometimes, clinicians fail to accurately determine the presence of CDF, which may have an impact on the conduct of the procedure. Here, we report the diagnosis and management of a patient with a CDF 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 CDF was accidentally found during laparoscopic cholecystectomy. We repaired the fistula, ligated the cystic duct, and removed 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. |
| format | Article |
| id | doaj-art-6572e627370942d29f99a955a2f4d09f |
| institution | DOAJ |
| issn | 2296-875X |
| language | English |
| publishDate | 2025-08-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Surgery |
| spelling | doaj-art-6572e627370942d29f99a955a2f4d09f2025-08-20T03:04:50ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2025-08-011210.3389/fsurg.2025.16175551617555Accidental discovery of cholecystoduodenal fistula during laparoscopic cholecystectomy: a case reportRui HuangJian-Xing TianXu DengZong-Long ZhuWei TianChun-Yuan YangMing XiaWei PanCholecystoduodenal fistula (CDF) is a rare complication of cholelithiasis. Sometimes, a preoperative examination does not fully detect CDF and may have an impact on the conduct of the surgery. Sometimes, clinicians fail to accurately determine the presence of CDF, which may have an impact on the conduct of the procedure. Here, we report the diagnosis and management of a patient with a CDF 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 CDF was accidentally found during laparoscopic cholecystectomy. We repaired the fistula, ligated the cystic duct, and removed 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.https://www.frontiersin.org/articles/10.3389/fsurg.2025.1617555/fullgallbladderduodenumcholecystoduodenal fistulagallbladder stonesendovascular fistula |
| spellingShingle | Rui Huang Jian-Xing Tian Xu Deng Zong-Long Zhu Wei Tian Chun-Yuan Yang Ming Xia Wei Pan Accidental discovery of cholecystoduodenal fistula during laparoscopic cholecystectomy: a case report Frontiers in Surgery gallbladder duodenum cholecystoduodenal fistula gallbladder stones endovascular fistula |
| title | Accidental discovery of cholecystoduodenal fistula during laparoscopic cholecystectomy: a case report |
| title_full | Accidental discovery of cholecystoduodenal fistula during laparoscopic cholecystectomy: a case report |
| title_fullStr | Accidental discovery of cholecystoduodenal fistula during laparoscopic cholecystectomy: a case report |
| title_full_unstemmed | Accidental discovery of cholecystoduodenal fistula during laparoscopic cholecystectomy: a case report |
| title_short | Accidental discovery of cholecystoduodenal fistula during laparoscopic cholecystectomy: a case report |
| title_sort | accidental discovery of cholecystoduodenal fistula during laparoscopic cholecystectomy a case report |
| topic | gallbladder duodenum cholecystoduodenal fistula gallbladder stones endovascular fistula |
| url | https://www.frontiersin.org/articles/10.3389/fsurg.2025.1617555/full |
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