Abstract
Cases of duodenal diverticulum complicated by the presense of stones seem extremely rare. A case of duodenal diverticulum containing a stone, with cholelithiasis and cholecyst-diverticular fistula is here in reported.
The patient i s a woman, aged 76 years, complaing of upper abdoninal discomfort. ERC and CT scan revealed the fistula between cholecyst and duodenal diverticulum and a stone in the diverticulum. On October 20,1987, operation was performed. The gallbladder was atrophic and adherent to the duodenum. In mobilizing the duodenum and freeing it from the gallbladder, the fistulas communication between the gallbladder and duodenal diverticulum was divided. The diverticulum itself contained a stone. After cholecystectomy, in order to remove this stone, the diverticulum was opened. The stone in the diverticulum was a gallstone, mixed stone, and chemical analysis of the stone showed it contained cholesterol and calcium bilirubinate.
