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10.1016/j.ijscr.2025.111899 http://scihub22266oqcxt.onion/10.1016/j.ijscr.2025.111899 40914089!ä!40914089 Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 247.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Warning: imagejpeg(C:\Inetpub\vhosts\kidney.de\httpdocs\phplern\40914089.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117       Int+J+Surg+Case+Rep 2025 ; 135 (ä): 111899 Nephropedia Template TP {{tp|p=40914089|t=2025. A combined cholecystoduodenocolic and gastrocolic fistula with a common orifice in the colon: A case report |pdf=|usr=}}{{40914089}} gab.com Text A combined cholecystoduodenocolic and gastrocolic fistula with a common orifice in the colon: A case report JO: Int J Surg Case Rep http://www.kidney.de/pget.php?&tw=1&pmid=40914089 #FOAvip INTRODUCTION: Gallbladder fistulas primarily connect to the duodenum (up to 83.3 % of cases) or colon (up to 24.5 %), with rare connections to other gastrointestinal organs. This report documents the clinical, pathological, and laboratory features and the management of a unique case involving a combined cholecystoduodenocolic and gastrocolic fistula with a common orifice in the colon. PRESENTATION OF THE CASE: A 46-year-old Iranian male with methadone addiction was hospitalized on December 12, 2024, due to abdominal pain, significant weight loss, and severe diarrhea with melena, who had delayed seeking medical attention because methadone alleviated his symptoms. DISCUSSION: Biliary fistulae can involve multiple organs and often present with non-specific symptoms, complicating diagnosis. Imaging revealed severely hypoechoic tissue in the gallbladder, suggesting a fistula. Upper endoscopy showed only a duodenal ulcer fistulized to the transverse colon, allowing the endoscope probe to be easily inserted into the colon without pressure. The surgical approach included cholecystectomy, resection and anastomosis of the involved colon, antrectomy, and removal of a portion of the proximal duodenum (D1), followed by a Billroth II reconstruction. CONCLUSION: Simultaneous fistulization involving the gallbladder, stomach, duodenum, and colon is possible, though rare. This case underscores the importance of thorough individualized surgical approaches to optimize outcomes in similar cases. Twit Text FOAVip A combined cholecystoduodenocolic and gastrocolic fistula with a common orifice in the colon: A case report ????Int J Surg Case Rep http://www.kidney.de/pget.php?&tw=1&pmid=40914089 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=40914089 #FOAvip English Wikipedia <ref>{{Cite pmid|40914089}}</ref> A combined cholecystoduodenocolic and gastrocolic fistula with a common orifice in the colon: A case report #MMPMID40914089 Amiri B; Roshani A; Karimi M; Rouzbahani AK; Yaghoubi B Int J Surg Case Rep 2025[Sep]; 135 (ä): 111899 PMID40914089show ga INTRODUCTION: Gallbladder fistulas primarily connect to the duodenum (up to 83.3 % of cases) or colon (up to 24.5 %), with rare connections to other gastrointestinal organs. This report documents the clinical, pathological, and laboratory features and the management of a unique case involving a combined cholecystoduodenocolic and gastrocolic fistula with a common orifice in the colon. PRESENTATION OF THE CASE: A 46-year-old Iranian male with methadone addiction was hospitalized on December 12, 2024, due to abdominal pain, significant weight loss, and severe diarrhea with melena, who had delayed seeking medical attention because methadone alleviated his symptoms. DISCUSSION: Biliary fistulae can involve multiple organs and often present with non-specific symptoms, complicating diagnosis. Imaging revealed severely hypoechoic tissue in the gallbladder, suggesting a fistula. Upper endoscopy showed only a duodenal ulcer fistulized to the transverse colon, allowing the endoscope probe to be easily inserted into the colon without pressure. The surgical approach included cholecystectomy, resection and anastomosis of the involved colon, antrectomy, and removal of a portion of the proximal duodenum (D1), followed by a Billroth II reconstruction. CONCLUSION: Simultaneous fistulization involving the gallbladder, stomach, duodenum, and colon is possible, though rare. This case underscores the importance of thorough individualized surgical approaches to optimize outcomes in similar cases. äA combined cholecystoduodenocolic and gastrocolic fistula with a commo(epmc).pdf DeepDyve Pubget Overpricing