Editor's quiz: GI snapshot
Answer
| The first 150 words of the full text of this article appear below. |
From the question on page 24
Colonoscopy revealed a localised area of mucosa inflammation with a suspected fistulous tract opening at the colonic hepatic flexure. Abdominal computed tomography (CT) and ultrasound (US) showed the presence of a large gallstone occupying the entire gallbladder and diffuse pneumobilia that raised the suspicion of a biliary–enteric fistula. Subsequent endoscopic retrograde cholangiopancreatography showed an initial compression of the common bile duct due to a large impacted gallstone, with minimal dilatation of the intrahepatic ducts. It also showed a cholecysto-colic fistula from which contrast entered the colon delineating the right colonic haustration (fig 1A,B, below).
Figure 1 Cholangiograms showing cholecysto-colic fistula and minimal dilatation of intrahepatic ducts.
| |||||||||
A diagnosis of large cholecysto-colic fistula was made with associated Mirizzi syndrome type I.1 Biliary–enteric fistulas are rare disorders usually developing insidiously and an association with gallstones is always present. The most common type of biliary–enteric fistula is
CiteULike 
Complore 
Connotea 
Del.icio.us 
Digg 
Reddit 
Technorati What's this?
Relevant Article
- How can a large gallstone give rise to chronic diarrhoea?
- F Parente, A Colli, M Costa, S Bargiggia, and S Greco
Gut 2009 58: 24.[Extract] [Full Text] [PDF]
Services
- Email this link to a friend
- Similar articles in this journal
- Add article to my folders
- Download to citation manager
- Request Permissions
Citing Articles
Google Scholar
Topic Collections
Bookmark with
Register for free content
The full back archive is now available for all BMJ Journals. Institutional subscribers may access the entire archive as part of their subscription. Personal subscribers will also have access to all content when logged in. Non-subscribers who register have free access to all articles published before 2006 right back to volume 1 issue 1. Register here to access the free archive of all BMJ Journals.
Don't forget to sign up for content alerts so you keep up to date with all the articles as they are published.
