case_images: PMC7242993_01
case_images: a. Findings on esophagogastroduodenoscopy.. Esophagogastroduodenoscopy revealed a concavity (arrow) on the anterior antral wall of the stomach, which indicates a fistula.. b. Endoscopic cholangiography findings of the fistula.. Gastrografin injected from the concavity flowed into the gallbladder, which confirmed the diagnosis of cholecystogastric fistula.
case_images: gr1.jpg
case_images: PMC7242993_01_gr1.jpg
case_images: fig0005
case_images: Esophagogastroduodenoscopy showed a concavity on the anterior wall of the gastric antrum (Fig. 1a). Gastrografin injected from the concavity flowed into the gallbladder, which confirmed the diagnosis of CGF (Fig. 1b).
case_images: a. Findings of the fistula during laparoscopy.. The fistula between the gallbladder and the stomach was exposed.. b. Findings of the intraabdominal suture during laparoscopy.. The dissected stomach wall of the fistular region was closed with an intraabdominal suture.
case_images: gr2.jpg
case_images: PMC7242993_01_gr2.jpg
case_images: fig0010
case_images: Ace Plus; Johnson & Johnson, Tokyo, Japan). Adhesions between the gallbladder and stomach were dissected, and the fistula was exposed (Fig. 2a). Therefore, coring-out of the stomach wall around the fistular region was performed with an observation of the resection line laparoscopically and endoscopically, and the defect of the gastric wall was closed using intraabdominal hand-sewn sutures (Fig. 2b).