Korean Journal of Gastrointestinal Endoscopy 2004;28(6): 332-335.
위내로 배출된 담석을 동반한 담낭-위 누공 1예
양 성 연·권 수 경·류 지 화*
인제대학교 의과대학 내과학교실, *방사선과학교실
The Cholecystogastric Fistula and the Transmigration of the Gallstone
Sung Yeun Yang, M.D., Su Kyoung Kwon, M.D. and Ji Hwa Ryu, M.D.*
Departments of Internal Medicine and *Radiology, Inje University College of Medicine, Busan, Korea
Abstract
The internal biliary fistula between the gallbladder or bile duct and intestinal tract is a rare disease. Because symptoms and signs of biliary fistula are not specific, these patients are commonly investigated with computed tomography, endoscopic retrograde cholangiopancreatography (ERCP) and barium study. Among them, a cholecystogastric fistula is a very rare type of biliary fistula. We recently experienced a case of cholecystogastric fistula and transmigration of the gallstone to the stomach. A 53-year- old woman was transferred with the impression of gallbladder cancer. On evaluating the cause of right upper abdominal pain and nausea, we confirmed the cholecystogastric fistula with gastroscopy, upper GI series and ERCP. Cholecystectomy and the repair of the fistula was done. (Korean J Gastrointest Endosc 2004;28:332335)
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