DOAJ Open Access 2019

An Unusual Presentation of Cholecystoduodenal Fistula: Abdominal Pain out of Proportion to Exam

Ryan McCreery Matthew Meigh

Abstrak

Cholecystoduodenal fistula (CDF) is a rare complication of gallbladder disease. Clinical presentation is variable, and preoperative diagnosis is challenging due to the non-specific symptoms of CDF. We discuss a 61-year-old male with a history of atrial fibrillation who presented with severe abdominal pain out of proportion to exam. The patient was diagnosed promptly and successfully managed non-operatively. This case presentation emphasizes the need to maintain a broad differential diagnosis for abdominal pain out of proportion to exam, with the possibility of a biliary-enteric fistula as a possible cause. It also stresses the importance of a multimodality imaging approach to arrive at a final diagnosis.

Topik & Kata Kunci

Medical emergencies. Critical care. Intensive care. First aid

Penulis (2)

Ryan McCreery

Matthew Meigh

Format Sitasi

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McCreery, R., Meigh, M. (2019). An Unusual Presentation of Cholecystoduodenal Fistula: Abdominal Pain out of Proportion to Exam. https://doi.org/10.5811/cpcem.2019.4.42686

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Informasi Jurnal

Tahun Terbit: 2019
Sumber Database: DOAJ
DOI: 10.5811/cpcem.2019.4.42686
Akses: Open Access ✓