Acute cholecystitis with Cholecystocolic fistula: a case report and pertinent literature review

Authors

  • Mansur S. Alqunai Faculty, Department of General Surgery, Ministry of Education, Saudi Arabia
  • Mahmoud Abdul-Kareem Daif-Allah Department of General Surgery, King Fahad Specialist Hospital, Saudi Arabia
  • Loai Alhammad Department of Radiology, King Fahad Specialist Hospital, Saudi Arabia

DOI:

https://doi.org/10.18203/2349-2902.isj20173427

Keywords:

Cholelithiasis, Cholecystectomy, Cholecystoenteric fistula

Abstract

Cholecystocolic fistula (CCF) is a rare late complication of gallstones. The clinical features of CCF are nonspecific and variable. No single test is sufficient to diagnose CCF because of the low sensitivity of the tests or the invasive nature of the procedures, and these tests are not routinely requested for asymptomatic patients. Because CCF is rarely diagnosed preoperatively, patient history, laboratory, and radiological data play an important role in alerting surgeons to the possible existence of a CCF. Treatment involves closing the fistula and performing an open or laparoscopic cholecystectomy.

Author Biographies

Mansur S. Alqunai, Faculty, Department of General Surgery, Ministry of Education, Saudi Arabia

Faculty, Department of General Surgery, Ministry of Education, Saudi Arabia

Mahmoud Abdul-Kareem Daif-Allah, Department of General Surgery, King Fahad Specialist Hospital, Saudi Arabia

Consultant, Department of General Surgery, King Fahad Specialist Hospital, Saudi Arabia

Loai Alhammad, Department of Radiology, King Fahad Specialist Hospital, Saudi Arabia

Consultant, Head of Radiology Department, King Fahad Specialist Hospital, Saudi Arabia.

References

Glenn F, Reed C, Grafe WR. Biliary enteric fistula. Surg Gynecol Obstet. 1981;153:527-31.

Costi R, Randone B, Violi V, Scatton O, Sarli L, Soubrane O, et al. Cholecystocolonic fistula: facts and myths. A review of the 231 published cases. J Hepato-Biliary-Pancreatic Sci. 2009;16(1):8-18.

Elsas LJ, Gilat T. Cholecystocolonic fistula with malabsorption. Ann Intern Med. 1965;63:481-6.

Gora N, Singh A, Jain S, Parihar US, Bhutra S. Spontaneous cholecystocolic fistula: case report. J Clin Diagnostic Res. 2014;8(3):164.

Correia MF, Amonkar DP, Nayak SV, Menezes JL. Cholecystocolic fistula: a diagnostic enigma. Saudi J Gastroenterol. Official Journal of the Saudi Gastroenterology Association. 2009;15(1):42.

LeBlank KA, Barr LH, Rush BM. Spontaneus biliaryenteric fistulas. South Med J. 1983;76:1248-52.

Reddy AK, Dennett ER. Cholecystocolonic fistula: a rare intraluminal cause of large bowel obstruction. BMJ Case Reports. 2016;2016:bcr2016217141.

Milsom JW, MacKeigan JM. Gallstone obstruction of the colon. Report of two cases and review of management. Dis Colon Rectum. 1985;28:367-70.

Angrisani L, Corcione F, Tartaglia A, Tricarico A, Rendano F, Vincenti R, et al. Cholecystoenteric fistula (CF) is not a contraindication for laparoscopic surgery. Surg Endosc. 2001;15:1038-41.

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Published

2017-07-24

Issue

Section

Case Reports