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- Title
A Special Gastric Calculus with Plenty of Pus After Colectomy.
- Authors
Hu, Xu; Jia, Zhong; Wan, Ya-Feng; Li, Jiang-Tao
- Abstract
Stones formed in the gastric wall are called gastric calculus, often caused by tannic acid. Herein, we describe a 64-year-old man with a stationary gallstone, who underwent right hemicolectomy and standard postoperative systemic chemotherapy due to ileocecal carcinoma 15 months ago and found with unexplained elevated serum CEA and CA 19–9 level at the latest physical examination, presenting a little epigastric discomfort. The gastroscope revealed a big special calculus embedded in the gastric wall, with plenty of pus. Computed tomography revealed cholecystogastric fistula formation and a migrated gallstone from the gallbladder to the gastric wall. He, therefore, underwent partial gastrectomy, cholecystectomy, and fistulectomy. After surgery, he recovered successfully. Colectomy might be a risk factor for the development of cholecystolithiasis and even its carcinoma transformation. Synchronous cholecystectomy during colectomy for indicated gallbladder might be worthy of recommendation.
- Subjects
ONCOLOGIC surgery; STOMACH; GALLSTONES; ILEUM diseases; FISTULA; FOREIGN body migration; CALCULI; COLECTOMY; CONVALESCENCE; SUPPURATION; RISK assessment; GASTRECTOMY; CHOLECYSTECTOMY; CECUM cancer; COMPUTED tomography; DISEASE risk factors
- Publication
Indian Journal of Surgery, 2023, Vol 85, Issue 1, p204
- ISSN
0972-2068
- Publication type
Article
- DOI
10.1007/s12262-022-03406-3