Korean Journal of Gastrointestinal Endoscopy 1990;10(1): 79-83.
담도 위누공 2예 ( Biliary - Gastric Fistula : Report of Two Cases )
이문성, 손진휘, 김진홍, 조성원, 김재준, 심찬섭 (Moon Sung Lee, Jin Whi Son, Jin Hong Kim, Sung Won Cho, Jae Joon Kim and Chan Sup Shim)
Abstract
Spontaneous internal biliary fistula is not an uncommon complication of neglected cholelithiasis, peptic ulcer, and carcinoma. The indidence, as given by various authors, differs but seems to vary between 3 and 5% of all cases of biliary disease. Until development of endoscopy, diagnosis has depended on the presence of air or barium in the biliary tree as radiologic findings or symptoms. Recently endoscopic examination, biopsy in appropriate case, and cannulation of the fistula for precise radiographic delineation will help to make a diagnosis. The main typesof fistulas are cholecystoduodenal, cholecystocolic, choledochoduodenal. Cholecystogastric or choledochogastric fistula is very rare type of internal biliary fistulas. Recently we encountered two cases who had suffered from fever and right upper abdominal pain with pneumobilia as ultrasonographic findings. They were confirmed as having cholecystogastric fistula, and choledochogastric fistula due to complicated gallstones by ERCP and surgical exploration. So we report two cases of biliary-gastric fistula of these patients with a review of relevant literatures.
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