Korean J Gastrointest Endosc.  1990 May;10(1):79-83.

Biliary - Gastric Fistula : Report of Two Cases

• Lee MS
• Son JW
• Kim JH
• Cho SW
• Kim JJ
• Shim CS

Abstract

Spontaneous internal biliary fistula is not an uncommon complication of neglected cholelithiasis, peptic ulcer, and carcinoma. The indidence, as given by various authors, differs but seems to vary between 3 and 5% of all cases of biliary disease. Until development of endoscopy, diagnosis has depended on the presence of air or barium in the biliary tree as radiologic findings or symptoms. Recently endoscopic examination, biopsy in appropriate case, and cannulation of the fistula for precise radiographic delineation will help to make a diagnosis. The main typesof fistulas are cholecystoduodenal, cholecystocolic, choledochoduodenal. Cholecystogastric or choledochogastric fistula is very rare type of internal biliary fistulas. Recently we encountered two cases who had suffered from fever and right upper abdominal pain with pneumobilia as ultrasonographic findings. They were confirmed as having cholecystogastric fistula, and choledochogastric fistula due to complicated gallstones by ERCP and surgical exploration. So we report two cases of biliary-gastric fistula of these patients with a review of relevant literatures.

MeSH Terms

Abdominal Pain
Barium
Biliary Fistula
Biliary Tract
Biopsy
Catheterization
Cholangiopancreatography, Endoscopic Retrograde
Cholelithiasis
Diagnosis
Endoscopy
Fever
Fistula
Gallstones
Gastric Fistula*
Humans
Peptic Ulcer
Barium