Cholecysto-duodenal Fistula with Gallstone Obstruction of the Small Intestine: A Report of Two Cases

Abstract

Occasional reports of cases of spontaneous fistula formation between the gall bladder and duodenum are to be found in the literature but the total number of such reported cases is still relatively small. The most recent one is that by Sickels and Hudson2 in which they tabulate the cases reported, a total of 29, and add one of their own. In addition to these there were ten cases reported in which the filling of the bile ducts during a barium meal examination was stated to be due to reflux through the ampulla of Vater, but only five of these had surgical or postmortem verification. Due to the apparent rarity of the condition and the unusual features in one of them, the following two cases are presented: Case 1. The patient, a white female, 60 years of age, was admitted to the State of Wisconsin General Hospital on July 31, 1933, in a stuporous state, having been ill at home for the previous ten days. It was impossible to obtain an adequate history from the patient but the referring physician supplied enough...