CASE REPORTS   

Minerva Chirurgica 2007 February;62(1):47-9

Copyright © 2007 EDIZIONI MINERVA MEDICA

language: English

Cholecystoduodenal fistula in a nonagenarian. Can laparotomy play a role in the era of laparoscopic? Case report

Di Carlo I., Toro A., Sparatore F., Primo S.

Department of Surgical Sciences Organ Transplantation and Advanced Technologies, Cannizzaro Hospital University of Catania, Catania, Italy

Cholecystoduodenal fistula, a rare complication of biliary lithiasis, occurs in 0.5% to 3% of patients affected by cholelithiasis. Diagnosis is not easy and is usually incidental at surgery. The literature guidelines call for a laparoscopic approach to treating these patients; here, however, we report a case of a very elderly patient in which, among other reasons, open surgery was the treatment of choice to decrease morbidity and mortality.