Korean Journal of Gastrointestinal Endoscopy 1999;19(3): 481-485.
담낭결손을 동반한 총담관 대장루 1 예 ( A Case of Choledochocolonic Fistula Combined with Absence of Gallbladder )
정선화, 정유선, 임해성, 장현주, 강승식, 계세협, 이진, 곽상택, 주사언, 이봉화 (Sun Hwa Jung, Yoo Sun Chung, Hae Seang Yim, Hyun Joo Chang, Seung Sik Kang, Sae Hyub Kae, Jin Lee, Sang Taek Kwak, Sang Aun Joo and Bong Hwa Lee)
Abstract
The enterobiliary fistulas are mostly spontaneous and are caused by biliary disease associated with calculi. Review of many series shows that the most common variety of enterobiliary fistulas is a cholecystoduodenal fistula followed by cholecystocolic, cholecystogastric and choledochoduodenal fistula in that order. But very few cases of choledochocolonic fistulae have been reported. We report a case of choledocholithiasis combined with the absence of gallbladder leading to a choledochocolonic fistula, which was confirmed by endoscopic retrograde cholangiography and abdominal exploration in a 63- year-old male patient with complaint of right upper abdominal pain. (Korean J Gastrointest Endosc 19: 481∼485, 1999)