Abstract

CHOLECYSTOENTERIC FISTULA- A RARE CAUSE OF GASTROINTESTINAL BLEEDING

Dr. Sabade Pradnya Prakash*

Abstract

A 60-year-old woman presented to the emergency department of our hospital for several episodes of upper gastro-intestinal bleeding (hematemesis and melena). The endoscopic examination (Figure 1) showed a large ulcer at the front of the bulb, with a calculation within it and a visible vessel on the banks of the ulcer treated by putting two clips. Computer tomography (CT), demonstrated a sclerotic, atrophic and multi gallstone gallbladder, with a calculation protruding in the duodenum. The patient underwent surgery which consisted on partial cholecystectomy with duodenal suture and closing of cystic duct.

Keywords: Gastrointestinal Bleeding, Cholecystoenteric Fistula.