Korean J Gastrointest Endosc.  2004 Jun;28(6):332-335.

Cholecystogastric Fistula and the Transmigration of the Gallstone

  • 1Department of Internal Medicine, Inje University College of Medicine, Busan, Korea. ysydr@dreamwiz.com
  • 2Department of Radiology, Inje University College of Medicine, Busan, Korea.


The internal biliary fistula between the gallbladder or bile duct and intestinal tract is a rare disease. Because symptoms and signs of biliary fistula are not specific, these patients are commonly investigated with computed tomography, endoscopic retrograde cholangiopancreatography (ERCP) and barium study. Among them, a cholecystogastric fistula is a very rare type of biliary fistula. We recently experienced a case of cholecystogastric fistula and transmigration of the gallstone to the stomach. A 53-year-old woman was transferred with the impression of gallbladder cancer. On evaluating the cause of right upper abdominal pain and nausea, we confirmed the cholecystogastric fistula with gastroscopy, upper GI series and ERCP. Cholecystectomy and the repair of the fistula was done.


Cholecystogastric fistula; Gallstone
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