{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T15:10:13Z","timestamp":1756307413202,"version":"3.44.0"},"reference-count":8,"publisher":"BMJ","issue":"8","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2025,7,28]]},"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:p>Cholecysto-duodenal fistula (CDF) is a rare complication of chronic calculous cholecystitis. Due to advancements in minimally invasive techniques, a paradigm shift has occurred from the traditional open surgery to laparoscopic repair, but only one case report highlights robotic repair. In this article, we report a case of CDF management using a robotic approach. A woman in her 50s with a history of laparoscopic Roux-en-Y gastric bypass surgery presented with postprandial right upper quadrant abdominal pain, associated with diarrhoea. Abdominal ultrasound showed cholelithiasis with dilated common bile duct, which did not contain gallstones based on magnetic resonance cholangiopancreatography (MRCP). She underwent robotic-assisted laparoscopic cholecystectomy, where she was found to have a CDF, which was divided robotically. The patient had an uneventful recovery. This case report discusses the advantage of the robot\u2019s enhanced visualisation of dense adhesions in three dimensions, eliminating the need for conversion to open surgery.<\/jats:p>","DOI":"10.1136\/bcr-2024-263018","type":"journal-article","created":{"date-parts":[[2025,8,12]],"date-time":"2025-08-12T02:30:25Z","timestamp":1754965825000},"page":"e263018","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Robotic cholecystectomy with cholecysto-duodenal fistula division"],"prefix":"10.1136","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2507-392X","authenticated-orcid":false,"given":"Shirin","family":"Siddiqi","sequence":"first","affiliation":[{"name":"Department of General Surgery, Conemaugh Memorial Medical Center, Johnstown, Pennsylvania, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Darcy","family":"Duke","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Conemaugh Memorial Medical Center, Johnstown, Pennsylvania, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2025,8,11]]},"reference":[{"key":"2025082707335960000_18.8.e263018.1","doi-asserted-by":"crossref","first-page":"249","DOI":"10.1159\/000531486","article-title":"Preoperative Diagnosis and Treatment of Cholecystoduodenal Fistula","volume":"17","author":"Yokoigawa","year":"2023","journal-title":"Case Rep Gastroenterol"},{"key":"2025082707335960000_18.8.e263018.2","doi-asserted-by":"crossref","unstructured":"Senthil Kumar P , Harikrishnan S . Cholecystoduodenal Fistula: A Case Series of an Unusual Complication of Gallstone Diseases. Cureus 2022;14. doi:10.7759\/cureus.31651","DOI":"10.7759\/cureus.31651"},{"key":"2025082707335960000_18.8.e263018.3","doi-asserted-by":"crossref","first-page":"410","DOI":"10.12998\/wjcc.v9.i2.410","article-title":"Cholecystoduodenal fistula presenting with upper gastrointestinal bleeding: A case report","volume":"9","author":"Park","year":"2021","journal-title":"World J Clin Cases"},{"key":"2025082707335960000_18.8.e263018.4","doi-asserted-by":"crossref","first-page":"e214","DOI":"10.15557\/JoU.2020.0036","article-title":"Gallbladder-duodenal fistula detected by ultrasound - a case report","volume":"20","author":"Jagu\u015b","year":"2020","journal-title":"J Ultrason"},{"key":"2025082707335960000_18.8.e263018.5","doi-asserted-by":"crossref","DOI":"10.1093\/jscr\/rjz231","article-title":"Robotic cholecystectomy and cholecystoenteric fistula closure in a female with remote cholangitis","volume":"2019","author":"Baratta","year":"2019","journal-title":"J Surg Case Rep"},{"key":"2025082707335960000_18.8.e263018.6","doi-asserted-by":"publisher","DOI":"10.1007\/s004640000317"},{"key":"2025082707335960000_18.8.e263018.7","doi-asserted-by":"crossref","first-page":"467","DOI":"10.1089\/lap.2006.16.467","article-title":"Laparoscopic Management of Cholecystoenteric Fistulas","volume":"16","author":"Chowbey","year":"2006","journal-title":"Journal of Laparoendoscopic & Advanced Surgical Techniques"},{"key":"2025082707335960000_18.8.e263018.8","doi-asserted-by":"crossref","DOI":"10.3389\/fsurg.2022.950292","article-title":"Surgical Management of Cholecystoenteric Fistula in Patients With and Without Gallstone Ileus: An Experience of 29 Cases","volume":"9","author":"Huang","year":"2022","journal-title":"Front Surg"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2024-263018","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T14:34:10Z","timestamp":1756305250000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2024-263018"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,8]]},"references-count":8,"journal-issue":{"issue":"8","published-online":{"date-parts":[[2025,8,11]]},"published-print":{"date-parts":[[2025,8]]}},"alternative-id":["10.1136\/bcr-2024-263018"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2024-263018","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2025,8]]}}}