Cholecystogastric Fistula: A Rare Complication of Cholelithiasis/Ascending Cholangitis

Novel Iatrogenic Cause of Cholecystogastric Fistula

“…Clinical presentation of CGF varies from clinically silent and asymptomatic fistula with no complications to gall stone ileus, cholangitis, GI hemorrhage, or gastric outlet obstruction [ 4 , 5 ].…”

“…PC tubes have not been reported previously as an etiology of CGF in the literature. Patients with significant comorbidities and poor functional status can be managed conservatively [ 5 ].…”

A Rare Occurrence of Cholecystogastric Fistula Mimicking Perforated Peptic Ulcer Symptoms: A Case Report

“…However, due to the patient's clinical condition, such as metabolic acidosis, which appeared suddenly in the patient's blood test results and was not in the patient's previous test, and the rebound tenderness that became generalized and intensified and expanded, the patient underwent laparotomy. Various studies have been performed on the types of cholecystoenteric fistula, its diagnosis, and its treatment methods [1,6,7,8]. However, given the rarity of this disease, and the fact that it can be life-threatening and that it can be confused with other dangerous diseases such as perforated peptic ulcer, which are also life-threatening, the diagnosis and choosing the right and the most appropriate treatment method, which is based on patient's clinical condition and clinical findings, is crucial.…”

“…The main way to treat and eradicate cholecystogastric fistula, which is a life-threatening problem, is surgery. But choosing the surgical methods such as open or laparoscopy or endoscopic surgery depends on various factors such as the patient's condition and possible diagnosis that the surgical team considers for the patient [1,6,7]. In this study, a 58-year-old man was presented with acute cholecystitis and cholecystogastric fistula symptoms with a clinical presentation mimicking acute cholecystitis and perforated peptic ulcer.…”