Gallstone fistula with a gastric duplication cyst: an unusual complication of cholecystitis

Jasprit Bhamrah; Phuoc-Tan Diep; John Bennet; Hugh Warren

doi:10.1093/jscr/2010.9.6

Gallstone fistula with a gastric duplication cyst: an unusual complication of cholecystitis

J Surg Case Rep. 2010 Nov 1;2010(9):6. doi: 10.1093/jscr/2010.9.6.

Authors

Jasprit Bhamrah¹, Phuoc-Tan Diep¹, John Bennet¹, Hugh Warren¹

Affiliation

¹ Queen Elizabeth Hospital, Norfolk, UK.

Abstract

Cholecystitis can result in complications if not completely treated. These include gallbladder empyema, perforation and cholecystoenteric fistula. We report the first incidence of cholecystitis resulting in a gallstone fistula with a gastric duplication cyst. A 71 year old patient presented with generalised peritonism that was worst in the epigastric area. Computer tomography (CT) revealed a perforated necrotic gallbladder. Emergency laparotomy, cholecystectomy, partial gastrectomy and Roux-en-Y reconstruction was required. The patient made a slow but full recovery. Pathology results revealed that chronic cholecystitis had resulted in a fistula with a duplication cyst overlying the greater curve of the stomach. Several one centimeter gallstones were found within the cyst cavity.