UGI Bleed- A Rare Presentation of Carcinoma Gall Bladder with Cholecystoduodenal Fistula

Upper GI bleeding(UGIB) is defined as bleeding derived from a source proximal to the ligament of Treitz. It is a life threatening condition. Bilioenteric fistulas are abnormal communication between the bile duct system and the gastrointestinal tract that occurs spontaneously and usually occurs as a...

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Bibliographic Details
Main Authors: Karishma Das, Swarup Kar, Usha Rani Pegu, Liza Hazarika
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2022-07-01
Series:Assam Journal of Internal Medicine
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Online Access:https://journals.lww.com/10.4103/ajoim.ajoim_11_22
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Summary:Upper GI bleeding(UGIB) is defined as bleeding derived from a source proximal to the ligament of Treitz. It is a life threatening condition. Bilioenteric fistulas are abnormal communication between the bile duct system and the gastrointestinal tract that occurs spontaneously and usually occurs as a rare complication of untreated gallstone in majority of cases. Cholecystoduodenal fistula(CDF) as a cause of upper GI bleeding is an extremely rare event. It has been theorized that a cholecystoduodenal fistula may lead to development of carcinoma gall bladder due to chronic reflux of duodenal contents. High index of clinical suspicion is required to make a diagnosis.
ISSN:2278-8239