A CASE OF HOLECYSTODUODENOCOLIC FISTULA IN A PATIENT SUFFERING FROM CHOLELITHIASIS, CHRONIC CALCULUS CHOLECYSTITIS, CHOLEDOCHOLITHIASIS
Abstract
Internal biliodigestive fistulas are quite rare and the most severe complications of cholelithiasis. A case of holecystoduodenocolic fistula in a patient suffering from cholelithiasis complicated by choledocholithiasis and obstructive jaundice is presented. During surgery, a dense infiltrate was detected in the subhepatic space, upon separation of which a holecystoduodenocolic fistula was diagnosed. The patient was operated on; cholecystectomy, separation of the holecystoduodenal and duodenocolic fistulas, choledocholithotomy, transduodenal papillophincterotomy, suturing of the fistula openings of the duodenum and transverse colon a well as choledochus drainage according to Vishnevsky being performed.
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