Cholecystoduodenal Fistula: A Case Report in a Secondary Care Hospital

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Jesús Eduardo Briones Hernández
Claudia Yadira González De Caso
Jorge Luis López Villegas
Jesús Armando Ruvalcaba Velázquez

Abstract

Introduction: Cholecystoduodenal fistula is a rare complication of cholelithiasis, difficult to diagnose preoperatively due to its nonspecific clinical presentation.


Case Report: We present the case of a 57-year-old woman with a long history of cholelithiasis who underwent laparoscopic cholecystectomy. Intraoperatively, a cholecystoduodenal fistula was identified. Subtotal cholecystectomy and primary closure of the duodenal defect were performed, with a favorable outcome.


Conclusion: Timely diagnosis requires a high index of suspicion. The laparoscopic approach is a safe alternative in secondary care hospitals when surgical experience is available.

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How to Cite
Briones Hernández, Jesús Eduardo, Claudia Yadira González De Caso, Jorge Luis López Villegas, and Jesús Armando Ruvalcaba Velázquez. 2026. “Cholecystoduodenal Fistula: A Case Report in a Secondary Care Hospital”. International Journal of Medical Science and Clinical Research Studies 6 (05):870-74. https://doi.org/10.47191/ijmscrs/v6-i5-12.
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References

I. Fujita N, Yasuda I, Endo I, et al. Evidence-based clinical practice guidelines for cholelithiasis 2021. J Gastroenterol. 2023;58(9):801-833.

doi:10.1007/s00535-023-02014-6.

II. Stinton LM, Shaffer EA. Epidemiology of gallbladder disease: cholelithiasis and cancer. Gut Liver. 2012;6(2):172-187.

doi:10.5009/gnl.2012.6.2.172.

III. Portincasa P, Moschetta A, Palasciano G. Cholesterol gallstone disease. Lancet. 2006;368(9531):230-239.

doi:10.1016/S0140-6736(06)69044-2. .

IV. Muñoz-Leija MA, Alemán-Jiménez MC, Plata-Álvarez H, et al. Laparoscopic management of cholecystoduodenal and cholecystocolic fistula. Cureus. 2023;15(6):e40657.

doi:10.7759/cureus.40657.

V. Quimis JE, Chusan MB, Molina JR, et al. Laparoscopic management of cholecystoduodenal fistula associated with sclerotic gallbladder: case report. Clin Med Health Res J. 2025;5(1):1092-1094.

VI. Alsairy S, Alessa AM, Alaiyar BN, Alharbi O, Alomar A, Albalawi S, et al. Incidentally found cholecystoduodenal fistula and an unusual case of gallstone ileus after laparoscopic cholecystectomy. Cureus.2023;15(11):e49651. doi:10.7759/cureus.49651

VII. Dallagi R, Ferjaoui W, Omry A, et al. Case report: gallstone ileus management. F1000Research. 2024;13:823. doi:10.12688/f1000

VIII. Lee CK, Ramcharan DN, Alaimo KL, Velez V, Risden AE, Klein DH, et al. Cholecystoduodenal fistula evading imaging and endoscopic retrograde cholangiopancreatography: a case report. Cureus. 2021;13(11):e20049. doi:10.7759/cureus.20049.

IX. Singh K, Kumar NS, Lokavarapu MJ, Ammapalem S, Selvarasu M, Gupta A. Cholecystoenteric fistula: a single-center experience of seven cases with unusual complications of gallstone disease. Cureus. 2025;17(3):e81350. doi:10.7759/cureus.81350

X. Yokoigawa N, Kawaguchi Y. Preoperative diagnosis and treatment of cholecystoduodenal fistula. Case Rep Gastroenterol. 2023;17(1):249-254. doi:10.1159/000531486

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