Laparoscopic management of cholecystoduodenal fistula: a case report

Tharun Ganapathy C., Jeyakumar S., Manimaran P., Sidhu Sekhar


Laparoscopic cholecystectomy has been the most widely accepted modality of treatment for patients with gall bladder disease. With time and increasing experience laparoscopic cholecystectomy is now being successfully attempted to treat almost all benign gall bladder pathology and their complications. One such uncommon infrequent complication of cholecystolithiasis is the cholecystoenteric fistula. Management of cholecystoduodenal fistula was traditionally performed by open method. With increasing newer laparoscopic techniques and advancement in the field, cholecystoduodenal fistula, an uncommon clinical entity is now being successfully treated via laparoscopic approach. It is feasible and safer than the conventional open approach in experienced hands, thus decreasing the overall morbidity and mortality attributed to the condition. We report a case of cholecystoduodenal fistula treated successfully by laparoscopic approach using an Endo GIA stapler.


Cholecystoduodenal fistula, EndoGIA stapler, Laparoscopic approach

Full Text:



Cuschieri A, Dubois F, Mouiel J. The European experience with laparoscopic cholecystectomy. Am J Surg. 1991;161:385-7.

Chowbey PK, Bandyopadhyay SK, Sharma A. Laparoscopic management of cholecystoenteric fistulas. J Laparoendosc Adv Surg Tech A. 2006;16:467-72.

Angrisani L, Corcione F, Tartaglia A. Cholecystoenteric fistula (CF) is not a contraindication for laparoscopic surgery. Surg Endosc. 2001;15:1038-41.

Sharm A, Sullivan M, English H, Folwy R. Laparoscopic repair of cholecystoduodenal fistula. Surglaparosc Endosc. 1994;4:433-5.

Ibrahim IM, Wolodiger F, Saber AA. Treatment of cholecystocolonic fistula by laparoscopy. Surg Endosc. 1995;9:728-9.

Dash N. Successful laparoscopic management of four cases of cholecystoduodenal fistula. Med J. Armed Forces India. 2012;68(1):88.

Moreno FR, Suescun RG, Martínez JF, Hidalgo JG, Espadas BP, Hernández JC. Treatment of cholecystoduodenal fistula in the era of laparoscopy. Spanish journal of digestive diseases: official organ of the Spanish Society of Digestive Pathology. 2001;93(11):715-20.

Wang WK, Yeh CN, Jan YY. Successful laparoscopic management for cholecystoenteric fistula. World J gastroenterol. 2006;12(5):772-5.

Latic A, Latic F, Delibegovic M, Samardzic J, Kraljik D, Delibegovic S. Successful laparoscopic treatment of cholecystoduodenal fistula. Med Arh. 2010;64:379-80.

Abou-Saif A, Al-Kawas FH. Complications of gallstone disease: Mirizzi syndrome, cholecystocholedochal fistula, and gallstone ileus. Am J Gastroenterol. 2002;97(2):249.

Csendes A, Diaz JC, Burdiles P, Maluenda F, Nava O. Mirizzi syndrome and cholecystobiliary fistula: a unifying classification. Br J Surg. 1989;76(11):1139-43.