Incidental cholecystojejunal fistula: a rare complication of gall stone disease

Vipul K Srivastava

Resident, Department of General Surgery, Institute of Medical Sciences, India

Published Date: 2022-07-26
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Abstract

Cholecystoenteric fistula is a rare complication of gallstone disease and difficult to diagnose preoperatively. Among Cholecystoenteric fistula, cholecystojejunal fistulae are even rarer and only a few case reports have been published on it. Here we report a case of a 60-year male patient with cholecystojejunal fistula diagnosed intraoperatively while performing laparoscopic cholecystectomy. Fundus of the gall bladder was found to be communicating with proximal jejunum. We conclude that in elderly patients if the ultrasonography shows features of contracted gall bladder in presence of large gall stones one should consider an option of getting a computed tomography scan done preoperatively

present the social practices of resilience of individuals with a work addiction according to the social representation of this addiction. According to our results, the social representation of work addiction is shaped by individual experience and work organization. This addiction is represented as a generally positive phenomenon in the workplace and problematic in all other spheres of life. Our study also identified 6 resilience practices of people with a work addiction aiming for a balanced life. These resilience practices testify to the empowerment capacity of these people.

 

Keywords: social representation, work addiction, behavioral addiction, definition, organizational conditions, social practices of resilience, empowerment, well-being.

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