Asymptomatic Cholecystocolonic Fistula: A Diagnostic and Therapeutic Dilemma

Antonacci, Nicola; Taffurelli, Giovanni; Casadei, Riccardo; Ricci, Claudio; Monari, Francesco; Minni, Francesco

doi:10.1155/2013/754354

Cited by 12 publications

(10 citation statements)

References 7 publications

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“…Because many patients with CCF are asymptomatic, it may be difficult to preoperatively diagnose the condition [4,5]. In the literature, a range of reported symptoms include diarrhea, right upper quadrant pain, jaundice and/or fever [1–4].…”

Section: Discussionmentioning

confidence: 99%

Robotic cholecystectomy and cholecystoenteric fistula closure in a female with remote cholangitis

Baratta

Kurbatov

Blanc

et al. 2019

Journal of Surgical Case Reports

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Cholecystocolic fistula (CCF), a connection between the gallbladder and neighboring colon, is a rare entity with little consensus as to the optimal surgical management. Existing case reports have described both open and laparoscopic repairs. We describe the first reported case of a successful robotic repair of a CCF in a 50-year-old woman diagnosed with cholangitis 5 years prior to surgery. The patient had a longitudinal follow-up by a single surgeon, allowing for early diagnosis and repair. This case also includes radiographic imaging over 5 years during the index hospitalization and preoperative workup. This allows for a glimpse into the natural pathogenesis of this disease. After robotic surgery, the patient made a complete recovery with no postoperative complications.

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Section: Discussionmentioning

confidence: 99%

Robotic cholecystectomy and cholecystoenteric fistula closure in a female with remote cholangitis

Baratta

Kurbatov

Blanc

et al. 2019

Journal of Surgical Case Reports

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“…Cholecystocolic fistula accounts for 10% to 20% of biliary fistulae [ 2 ]. Cholecystolithiasis complicated with obstruction and recurrent infection leads to adhesion of the gallbladder to adjacent organs.…”

Section: Discussionmentioning

confidence: 99%

Cholecystocolic Fistula Misdiagnosed as Colon Cancer: A Case Report

Zhou

2018

Am J Case Rep

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Patient: Male, 74Final Diagnosis: Cholecystocolic fistulaSymptoms: Abdominal painMedication: —Clinical Procedure: The patient were generally in good condition after operation and was discharged on the 15th postoperative daySpecialty: Gastroenterology and HepatologyObjective:Mistake in diagnosisBackground:Due to the absence of specific symptoms and signs, cholecystocolic fistula is easy to miss as a diagnosis or misdiagnose.Case Report:We report a case of an older male patient who had cholecystocolic fistula which was misdiagnosed as colon cancer. The cholecystocolic fistula was incidentally discovered during surgery and was appropriately treated.Conclusions:Cholecystocolic fistula is a rare complication of gallstone disease. Symptoms can be nonspecific. This case report demonstrates that despite modern diagnostic tools available, a high degree of suspicion is required to diagnose cholecystocolic fistula preoperatively. Open cholecystectomy and closure of fistula is the treatment of choice.

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“…Instead, the presence of pneumobilia on abdominal radiographs may provide presumptive evidence for the existence of a biliary-enteric fistula. Other radiological features include a small atrophic gallbladder adherent to neighboring organs or shrunken thick-walled gallbladder around gallstones [ 10 ]. In our case, although we did not perform directly certifying procedure such as ERCP, we suspected the existence of CCF from the radiological findings of the pneumobilia and the collapsed gallbladder adherent to the transverse colon on CT and MRI.…”

Section: Discussionmentioning

confidence: 99%

A Rare Case of Pylephlebitis as a Complication of Cholecystocolonic Fistula

Imaoka

Fukuda

Tazawa

et al. 2018

Case Reports in Surgery

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Pylephlebitis is defined as a septic thrombophlebitis of the portal vein and its tributaries that is associated with multiple suppurative abdominal infections. We report a case of pylephlebitis associated with a cholecystocolonic fistula (CCF). A 41-year-old man presented with upper abdominal pain and anorexia for 1 month. Abdominal contrast-enhanced computed tomography (CT) revealed thrombosis in the left and anterior branch of the portal vein and thickening of the walls of the portal vein and periside portals. The gallbladder was collapsed and pneumobilia was seen in the biliary tract. Blood culture was positive for Streptococcus anginosus. A diagnosis of thrombophlebitis of the portal vein associated with CCF was made, and the patient was immediately managed with an intravenous broad-spectrum antibiotic and anticoagulation. After the portal vein thrombosis (PVT) propagation and inflammation had subsided, cholecystectomy and partial resection of the transverse colon were performed. Pylephlebitis is rare but is a life-threatening complication of intra-abdominal infection. A high index of suspicion is required, and a CT scan should be performed immediately for an early diagnosis and appropriate treatment.

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Asymptomatic Cholecystocolonic Fistula: A Diagnostic and Therapeutic Dilemma

Cited by 12 publications

References 7 publications

Robotic cholecystectomy and cholecystoenteric fistula closure in a female with remote cholangitis

Robotic cholecystectomy and cholecystoenteric fistula closure in a female with remote cholangitis

Cholecystocolic Fistula Misdiagnosed as Colon Cancer: A Case Report

A Rare Case of Pylephlebitis as a Complication of Cholecystocolonic Fistula

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