Cholecystopyloric Fistula with Gastric Outlet Obstruction

<p>Duodenal Obstruction Due to Giant Gallstone: A Case Report</p>

“…17 Regarding radical treatment, some authors argue that remaining fistulous orifice has a high risk of recurrent cholecystitis and cholangitis. 21,22 In 1966, Warshaw and Bartlett reported that among 18 cases of enterolithotomy without cholecystectomy and fistula repair, there were six recurrent cholecystitis cases. 23 Additionally, a dysfunctional scleroatrophic gallbladder can develop cancer.…”

Bouveret’s Syndrome Complicated by Acute Pancreatitis

“…Only 0.3–0.5% of patients in Western countries with gallstones develop this complication [1, 4, 5, 6, 7]. In 8–20% of patients, the biliary enteric fistula is further complicated by gallstone ileus [8].…”

“…Extracorporeal shock wave lithotripsy [24]and electrohydraulic lithotripsy [25, 26]have been used successfully to fragment large stones. Laparotomy and removal of the stone by duodenotomy in association with cholecystectomy and closure of the fistula is the procedure of choice when endoscopic or fragmentation techniques fail [4, 8, 12]. …”