Abstract
A 68-year-old woman suffering from severe upper gastrointestinal bleeding underwent an urgent laparotomy. A necrotizing cholecystitis was found. The source of the bleeding was the eroded cystic artery. Perforation of a giant gallstone led to a fistula into the duodenum. The gallstone was removed from the distal jejunum. The patient's postoperative course was uneventful. Later on a choledochal stenosis had to be treated by stenting. One year after the procedure the patient is alive and well.
Publication types
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Case Reports
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English Abstract
MeSH terms
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Aged
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Arteries / surgery
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Biliary Fistula / complications*
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Biliary Fistula / surgery
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Cholecystectomy
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Cholecystitis / complications*
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Cholecystitis / surgery
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Cholelithiasis / complications*
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Cholelithiasis / surgery
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Duodenal Diseases / complications*
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Duodenal Diseases / surgery
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Female
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Gallbladder / blood supply
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Gastrointestinal Hemorrhage / etiology*
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Gastrointestinal Hemorrhage / surgery
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Humans
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Intestinal Fistula / complications*
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Intestinal Fistula / surgery
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Intestinal Perforation / complications*
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Intestinal Perforation / surgery
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Necrosis