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Case Reports in Surgery
Volume 2016, Article ID 5108471, 3 pages
http://dx.doi.org/10.1155/2016/5108471
Case Report

Double Incomplete Internal Biliary Fistula: Coexisting Cholecystogastric and Cholecystoduodenal Fistula

Department of General Surgery, Hacettepe University Medical School, Sihhiye, 06100 Ankara, Turkey

Received 15 November 2015; Accepted 28 December 2015

Academic Editor: Fernando Turégano

Copyright © 2016 Kemal Beksac et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Internal biliary fistula is a rare complication of a common surgical disease, cholelithiasis. It is seen in 0.74% of all biliary tract surgeries and is thought to be a result of repeated inflammatory periods of the gallbladder. In this report we present a case of incomplete cholecystogastric and cholecystoduodenal fistulae in a single patient missed by ultrasonography and endoscopic retrograde cholangiopancreatography and diagnosed intraoperatively. In the literature there is only one report of an incomplete cholecystogastric fistula. To our knowledge this is the first case of double incomplete internal biliary fistulae.