{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T18:26:37Z","timestamp":1780511197766,"version":"3.54.1"},"reference-count":15,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,8,13]],"date-time":"2025-08-13T00:00:00Z","timestamp":1755043200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Surg."],"abstract":"<jats:p>Cholecystoduodenal fistula (CDF) is a rare complication of cholelithiasis. Sometimes, a preoperative examination does not fully detect CDF and may have an impact on the conduct of the surgery. Sometimes, clinicians fail to accurately determine the presence of CDF, which may have an impact on the conduct of the procedure. Here, we report the diagnosis and management of a patient with a CDF that was accidentally detected intraoperatively. The patient was hospitalized twice in our hospital due to excessive inflammation around the gallbladder and combined with choledochal stones. During the second hospitalization, a CDF was accidentally found during laparoscopic cholecystectomy. We repaired the fistula, ligated the cystic duct, and removed the gallbladder laparoscopically while ensuring patient safety. In the absence of preoperative detection of a cholecystoenteric fistula (CEF), intraoperative judgment and postoperative management are of particular importance, which is what will be discussed in this article.<\/jats:p>","DOI":"10.3389\/fsurg.2025.1617555","type":"journal-article","created":{"date-parts":[[2025,8,14]],"date-time":"2025-08-14T14:04:02Z","timestamp":1755180242000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["Accidental discovery of cholecystoduodenal fistula during laparoscopic cholecystectomy: a case report"],"prefix":"10.3389","volume":"12","author":[{"given":"Rui","family":"Huang","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jian-Xing","family":"Tian","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xu","family":"Deng","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zong-Long","family":"Zhu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wei","family":"Tian","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chun-Yuan","family":"Yang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ming","family":"Xia","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wei","family":"Pan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2025,8,13]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"65","DOI":"10.4240\/wjgs.v8.i1.65","article-title":"Gallstone ileus, clinical presentation, diagnostic and treatment approach","volume":"8","author":"Nu\u00f1o-Guzm\u00e1n","year":"2016","journal-title":"World J Gastrointest Surg"},{"key":"B2","doi-asserted-by":"publisher","first-page":"1038","DOI":"10.1007\/s004640000317","article-title":"Cholecystoenteric fistula (CF) is not a contraindication for laparoscopic surgery","volume":"15","author":"Angrisani","year":"2001","journal-title":"Surg Endosc"},{"key":"B3","doi-asserted-by":"publisher","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":"J Laparoendosc Adv Surg Tech A"},{"key":"B4","first-page":"527","article-title":"Biliary enteric fistula","volume":"153","author":"Glenn","year":"1981","journal-title":"Surg Gynecol Obstet"},{"key":"B5","doi-asserted-by":"publisher","first-page":"8","DOI":"10.1007\/s00534-008-0014-1","article-title":"Cholecystocolonic fistula: facts and myths. A review of the 231 published cases","volume":"16","author":"Costi","year":"2009","journal-title":"J Hepatobiliary Pancreat Surg"},{"key":"B6","doi-asserted-by":"publisher","first-page":"725","DOI":"10.1097\/00000658-191205000-00005","article-title":"Intestinal obstruction due to gall-stones: with report of three successful cases","volume":"55","author":"Martin","year":"1912","journal-title":"Ann Surg"},{"key":"B7","doi-asserted-by":"publisher","first-page":"18","DOI":"10.1016\/j.ijscr.2018.01.010","article-title":"Gallstone ileus: a possible cause of bowel obstruction in the elderly population","volume":"43","author":"De Monti","year":"2018","journal-title":"Int J Surg Case Rep"},{"key":"B8","doi-asserted-by":"publisher","first-page":"1090","DOI":"10.1177\/0300060517699038","article-title":"Laparoscopic management of cholecystoenteric fistula: a single-center experience","volume":"45","author":"Li","year":"2017","journal-title":"J Int Med Res"},{"key":"B9","doi-asserted-by":"publisher","first-page":"950292","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"},{"key":"B10","doi-asserted-by":"publisher","first-page":"143","DOI":"10.1155\/1997\/95363","article-title":"The internal biliary fistula\u2013reappraisal of incidence, type, diagnosis and management of 33 consecutive cases","volume":"10","author":"Yamashita","year":"1997","journal-title":"HPB Surg"},{"key":"B11","doi-asserted-by":"publisher","first-page":"5108471","DOI":"10.1155\/2016\/5108471","article-title":"Double incomplete internal biliary fistula: coexisting cholecystogastric and cholecystoduodenal fistula","volume":"2016","author":"Beksac","year":"2016","journal-title":"Case Rep Surg"},{"key":"B12","doi-asserted-by":"publisher","first-page":"728","DOI":"10.1007\/BF00187951","article-title":"Treatment of cholecystocolonic fistula by laparoscopy","volume":"9","author":"Ibrahim","year":"1995","journal-title":"Surg Endosc"},{"key":"B13","doi-asserted-by":"publisher","first-page":"178","DOI":"10.1159\/000018825","article-title":"Safe laparoscopic cholecystectomy in the presence of a cholecysto-enteric fistula","volume":"17","author":"Martin","year":"2000","journal-title":"Dig Surg"},{"key":"B14","doi-asserted-by":"publisher","first-page":"226","DOI":"10.1055\/s-2007-1004173","article-title":"Laparoscopic management of cholecystogastric fistula","volume":"29","author":"Nuzzo","year":"1997","journal-title":"Endoscopy"},{"key":"B15","doi-asserted-by":"publisher","first-page":"772","DOI":"10.3748\/wjg.v12.i5.772","article-title":"Successful laparoscopic management for cholecystoenteric fistula","volume":"12","author":"Wang","year":"2006","journal-title":"World J Gastroenterol"}],"container-title":["Frontiers in Surgery"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fsurg.2025.1617555\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,14]],"date-time":"2025-08-14T14:04:03Z","timestamp":1755180243000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fsurg.2025.1617555\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,8,13]]},"references-count":15,"alternative-id":["10.3389\/fsurg.2025.1617555"],"URL":"https:\/\/doi.org\/10.3389\/fsurg.2025.1617555","relation":{},"ISSN":["2296-875X"],"issn-type":[{"value":"2296-875X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,8,13]]},"article-number":"1617555"}}