Introduction. Gallstone ileus is a complete or partial mechanical bowel obstruction due to gallstone impaction in the lumen and most commonly occurs after stones migrate through cholecystoenteric fistula. Case outline. We present patient with signs of stone migration cholecystoduodenal fistula into duodenum hematemesis as first symptom. Conservative treatment had been started, which initially r...

BACKGROUND The treatment of gallstone ileus (GI) consists of surgical removal of the impacted bilestone with or without cholecystectomy and repair of the biliodigestive fistula. The objective of this study was to assess whether sparing patients a definitive biliary procedure adversely influenced the outcome. MATERIALS AND METHODS Patients with a diagnosis of GI were reviewed. Two groups were ...

Echinococcal disease can develop anywhere in the human body. The liver represents its most frequent location. Hepatic hydatid cysts may rupture into the biliary tract, thorax, peritoneum, viscera, digestive tract or skin. We report a rare case with rupture of the right hepatic duct into a hydatid cyst in a woman with known hydatid disease and choledocholithiasis. The increased intra-luminal pre...

The medical records of 277 consecutive patients who underwent cholecystectomy for benign gall stone disease, were reviewed to determine the incidence and cause of biliary tract obstruction. Obstructive jaundice (icteric obstructive biliopathy) was present in 38 cases. This was due to choledocholithiasis in 22. Mirizzi's Syndrome in two, biliobiliary fistula in eight and biliary stricture in fiv...

OBJECTIVE To study the main causes of fistula, and to determine the factors related to a successful treatment. METHODS From November 2002 to October 2005, a total of 70 consecutive patients with enterocutaneous fistula in Gastroenterology and Hepatology Teaching Hospital, Baghdad, Iraq, were studied prospectively. Fifty-two patients received total parenteral nutrition. Internal gastrointestin...

Complex fistulas of the duodenum and biliary tree are severe complications of gastric surgery. The association of duodenal and major biliary fistulas occurs rarely and is a major challenge for treatment. They may occur during virtually any kind of operation, but they are more frequent in cases complicated by the presence of difficult duodenal ulcers or cancer, with a mortality rate of up to 35%...

A 69-year-old man, who had undergone a laparoscopic cholecystectomy 5 years previously, presented with episodic right upper quadrant pain accompanied by vomiting and sweating. Computed tomography (CT) showed two stones in a mildly dilated common bile duct (CBD). At endoscopic retrograde cholangiopancreatography (ERCP), wire-guided biliary cannulationwas rendered challenging by a large periampul...

CONTEXT Endoscopic transpapillary biliary drainage is the procedure of choice for biliary decompression in patients with unresectable pancreatic cancer. When ERCP is unsuccessful, the usual alternative is percutaneous transhepatic biliary drainage. Recently, the use of EUS-guided biliary drainage has been reported, but it is not clear whether it is feasible for this technique to find more wides...