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Concomitant cholecystoduodenal fistula and cholecystocholedochal fistula due to actinomyces.

Abstract
This report describes a patient with a cholecystoduodenal fistula and cholecystocholedochal fistula who was found to have Actinomyces contained within the gallbladder upon pathologic examination. The cholecystocholedochal fistula was repaired using a flap of gallbladder over a T-tube, and the actinomycosis was successfully eradicated with 6 weeks of intravenous doxycycline followed by an additional 6 months of oral doxycycline.
AuthorsSamuel E Bledsoe, Adrienne E Oliver, Dennis G Delgado, Raleigh B Kent
JournalThe American surgeon (Am Surg) Vol. 74 Issue 2 Pg. 133-5 (Feb 2008) ISSN: 0003-1348 [Print] United States
PMID18306863 (Publication Type: Case Reports, Journal Article)
Topics
  • Actinomycosis (complications)
  • Aged
  • Biliary Fistula (microbiology)
  • Common Bile Duct Diseases (microbiology)
  • Gallbladder Diseases (microbiology)
  • Humans
  • Intestinal Fistula (microbiology)
  • Male

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