A CASE OF CHOLECYSTOGASTRIC FISTULA COMPLICATED WITH HEPATOSPLENIC ABSCESS, IN WHICH LITHECBOLE WAS CONFIRMED BY BURROW

Abstract

Cholecystogastric fistula is relatively rare among idiopathic internal biliary fistulae, and it is said to represent about 4% of all the cases. The disease is rarely complicated with hepatosplenic abscess. This paper describes our experience with a case of the disease with a hepatosplenic abscess, in which we preoperatively confirmed lithecbole by burrow with gastric endoscopy and successfully performed a radical operation. A 51-year-old man was admitted to the hospital because of an abdominal pain and fever. He was confirmed to have hepatosplenicabscess by abdominal ultrasonography and CT and diagnosed as intra-cholecystogastric fistula after close examination. At the time, lithecbole from the fistula at the anterior wall of the antrum was confirmed by gastric endoscopy, and a radical operation was performed. The postoperative couse was uneventful. The hepatosplenic abscess also on an ambulant basis, disappearedand the patient is followed up. Idiopathic internal biliary fistula is a benign disease, but it has been reported that the disease may concursevere cholangitis and accelerate carcinogenesis in leaving it as it is. Early surgical treatment would be principally recommended.