Cholecystogastric Fistula with Perforation Peritonitis: A Rare Case Report
Vinay Gujar *
Department of General Surgery, Dr. S. N. Medical College, Jodhpur, Rajasthan, India.
Shubham Chobey
Department of General Surgery, Dr. S. N. Medical College, Jodhpur, Rajasthan, India.
Gurusha Jangid
Department of General Surgery, Dr. S. N. Medical College, Jodhpur, Rajasthan, India.
*Author to whom correspondence should be addressed.
Abstract
A cholecystogastric fistula is among the rarest and most serious complications of peptic ulcer disease. It can present with non-specific symptoms and resemble other conditions, such as perforation peritonitis. This makes it preoperative diagnosis challenging. This case report describes a 33-year-old woman presenting with abdominal pain and vomiting. An X-ray of the abdomen revealed gas under the diaphragm. An emergency laparotomy revealed a cholecystogastric fistula with perforation peritonitis. Cholecystectomy and a modified Graham patch repair were performed. Patient had an uneventful recovery and was later confirmed to have peptic ulcer disease through endoscopy. The case highlights the importance of cholecystogastric fistula as an important differential diagnosis as well as a complication in patients experiencing abdominal pain, vomiting, and symptoms of peptic ulcers.
Keywords: Peptic ulcer, cholecystogastric fistula, perforation peritonitis, laparotomy, cholecystectomy, gastric malignancy