Abstract
ABSTRACTGallstones may pass into the gastrointestinal tract spontaneously through the ampulla of Vater or through a biliary-enteric fistula. This report describes an extremely rare case of a patient vomiting a gallstone without the presence of a fistula between the gallbladder and the gastrointestinal tract. Furthermore, no imaging findings of gallstones disease appeared. The patient has been treated conservatively and all symptoms subsided. The patient remains asymptomatic 3 months after treatment and an elective laparoscopic cholecystectomy was arranged. Including this reported case, only three cases have been described in the literature worldwide. However, our case is the only one characterized by retrograde flow of the gallstones into the stomach without symptoms of bowel obstruction or other underlying pathologies.
Highlights
Gallstone disease is among the most common intra-abdominal conditions resulting to hospital admissions in developed countries
Gallstones may pass into the gastrointestinal tract spontaneously through the ampulla of Vater or through a biliary-enteric fistula
Gallstones may pass into the GI tract spontaneously through the common bile duct, if the stone size is
Summary
Gallstone disease is among the most common intra-abdominal conditions resulting to hospital admissions in developed countries. Gallstones may pass into the gastrointestinal tract spontaneously through the ampulla of Vater or through a biliary-enteric fistula. This report describes an extremely rare case of a patient vomiting a gallstone without the presence of a fistula between the gallbladder and the gastrointestinal tract. Our case is the only one characterized by retrograde f low of the gallstones into the stomach without symptoms of bowel obstruction or other underlying pathologies.
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