Biliobiliary fistulas manifested by worsening liver function--a case report.

Abstract

We report a case of cholecystolithiasis with biliobiliary fistulas from gallbladder to hepatic ducts, which were manifested by worsening liver dysfunction. Although it was not diagnosed preoperatively, it was successfully treated by cholecystectomy with closure of fistulas by the gallbladder wall. This case suggests that an internal biliary fistula may be possible, when the gallbladder wall is thickened and shrunken in the case of cholecystolithiasis, accompanied with liver dysfunction despite no dilatation of the common bile duct.

• Authors: Takashi Ishikawa, Shun Yoshida, Hitoshi Sekido, Daisuke Morioka, Hirotoshi Akiyama, Yasushi Ichikawa, Itaru Endo, Hideki Masunari, Shinji Togo, Hideo Kobayashi, Hiroshi Shimada
• Journal: Hepato-gastroenterology (Hepatogastroenterology) 2005 Jul-Aug Vol. 52 Issue 64 Pg. 1092-4 ISSN: 0172-6390 [Print] Greece
• PMID: 16001637 (Publication Type: Case Reports, Journal Article)

Topics

• Aged
• Bile Duct Diseases (diagnosis, physiopathology, surgery)
• Biliary Fistula (diagnosis, physiopathology, surgery)
• Cholecystolithiasis (diagnosis, physiopathology, surgery)
• Female
• Hepatic Duct, Common
• Humans
• Liver (physiopathology)
• Liver Function Tests