담낭 십이지장루공 1례(膽囊 十二指腸瘻孔 1例)

초록

1. We had a case of cholecysto-duodenal fistula which had been treated with duodenal diverticulization and cholecystectomy. We had good result, so we would like to review literatures and summerize symptom, diagnosis and treatment, here. 2. He was a 49 years old male. He had a big stone which impacted at cholecysto-duodenal fistula. At sametime, he had complete obstruction of pylorus according to upper G-I series. 3. We have made conclusion that cholecysto-duodenal fistula should be considered as one of differential diagnosis of pyloric obstruction, eventhough it is a rare disease in our country. 4. As we encountered in this case, if closure of duodenal fistula is difficult, there are alternative methods such as duodenal diverticularization or Bancroft gastrectomy to prevent side fistula. Duodenal diverticulization should be used more often than we thought in case of cholecysto-duodenal fistula.