The journal of the Japanese Practical Surgeon Society
Online ISSN : 2189-2075
Print ISSN : 0386-9776
ISSN-L : 0386-9776
CONGENITAL CHOLECYSTIC DUCT DUODENAL FISTULA IN COMBINATION WITH CHOLEDOCHAL CYST -A CASE REPORT-
Takao UMEMOTOTohru ISHIKAWAYasuhiko SUMIAkihiko YOSHIDAHideyuki GOSHIMAHiroshi TAKAOShigetoyo SAJIKuniyasu SHIMOKAWA
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1988 Volume 49 Issue 1 Pages 88-92

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Abstract
A 40-year-old male patient is reported, in whom a congenital cholecystic duct duodenal fistula was found and excised during surgery for gastric ulcer. Operative and histopathological findings showed absence of definite inflammatory changes suggestive of a spontaneous biliary fistula and there was normal bile duct mucosa, accessory glands and smooth muscle in the wall of the fistula, thus suggesting a congenital nature.
Complication of a choledochal cyst, not accompanied by any anomalous arrangement of the pancreaticobiliary ductal system, was also observed.
Congenital cholecystic duct duodenal fistula appears to be a very rare anomaly and so far we have been unable to find any such case in the literature.
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© Japan Surgical Association
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