1. Effective Endoscopic Closure of Cholecysto-duodenal and Transverse Colon Fistulas Due to Squamous Cell Carcinoma of the Gallbladder Using Polyglycolic Acid Sheets and a Covered Metal Stent
- Author
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Hideki Iwamura, Hidezumi Kikuchi, Yusuke Tanaka, Shinsaku Fukuda, Syu Aizawa, Shinji Ota, Kuniaki Miyazawa, Naoki Higuchi, Satoshi Sato, Naotoshi Kaizuka, and Daisuke Chinda
- Subjects
squamous cell carcinoma ,medicine.medical_specialty ,Duodenum ,medicine.medical_treatment ,Case Report ,030204 cardiovascular system & hematology ,03 medical and health sciences ,0302 clinical medicine ,cholecysto-duodenal and transverse colon fistulas ,polyglycolic acid sheet ,Internal Medicine ,medicine ,Humans ,Basal cell ,Aged, 80 and over ,medicine.diagnostic_test ,business.industry ,Gallbladder ,Transverse colon ,Stent ,Magnetic resonance imaging ,General Medicine ,Abdominal distension ,gallbladder neoplasms ,medicine.anatomical_structure ,covered metal stent ,Carcinoma, Squamous Cell ,Female ,Stents ,030211 gastroenterology & hepatology ,Radiology ,medicine.symptom ,Gallbladder Neoplasm ,business ,Polyglycolic Acid ,Colon, Transverse - Abstract
An 81-year-old woman presented with abdominal distension and right hypochondrial pain. Abdominal contrast computed tomography and magnetic resonance imaging revealed an 11-cm gallbladder tumor. The patient was diagnosed with squamous cell carcinoma of the gallbladder by endoscopic ultrasound-guided fine-needle aspiration from the gastric antrum. Thereafter, the gallbladder tumor enlarged, and cholecysto-duodenal and transverse colon fistulas were formed. A covered metal stent was placed on the transverse colon, and polyglycolic acid sheets were injected into the duodenum to close the fistulas endoscopically. Endoscopic closure is less invasive than surgery and considered effective for patients with poor general health conditions.
- Published
- 2021