Cholecystoenteric fistula (CF) is not a contraindication for laparoscopic surgery

Angrisani, Luigi; Corcione, F; Tartaglia, Alberto; Tricarico, A; Rendano, F; Vincenti, Rodolfo; Motta, Lorenzo; Aiello, Alexandra; Bardi, U; Bruni, D; Candela, Stefano; Caracciolo, F; Crafa, Francesco; Falco, Augusto; Werra, Carlo De; D’Errico, R. R.; Giardiello, Cristiano; Pétrillo, O; Rispoli, G

doi:10.1007/s004640000317

Cited by 80 publications

(105 citation statements)

References 9 publications

(12 reference statements)

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“…Nowadays with the development of the imagistic techniques it is possible in some cases to diagnose preoperative a gallstone ileus, usually this diagnosis being set during the surgical intervention itself. [8,9] The majority of the patients are admitted at the emergency room accusing nausea, vomiting, abdominal pain or diarrhea. In the cases of the existence of a gallstone ileus, these patients also present signs of intestinal occlusion.…”

Section: Discussionmentioning

confidence: 99%

Gallstone Ileus Caused by a Cholecysto-Duodeno-Colic Fistula, Case Report And Literature Review

Suciu

Hălmaciu

Vunvulea

et al. 2017

ARS Medica Tomitana

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Introduction:Complex cholecysto-duodeno-colic fistulas are an extremely rare complication that can occur in patients with cholelithiasis. The aim of this article is to present the case of a pacient with cholecystoduodeno-colic fistula manifested with biliary ileus in a patient known for many years with cholelithiasis. Case report: We present the case of a 62 y/o male that was admitted in our clinic with the diagnosis of gallstone ileus. Emergency surgical intervention was needed. Intraoperatively we discovered a cholecysto-duodenocolic fistula complicated with gallstone ileus. During the operation we practiced retrograde cholecystectomy, closure of the fistulous tract (duodenoraphy, coloraphy), enterotomy and extraction of the calculus located inside the small intestine. The postoperative evolution was favorable. Conclusions:Cholecysto-duodeno-colic fistulas complicated with gallstone ileus are an extremely rare complication that can occur in patients with gallstones. In case of the occurrence of gallstone ileus, the surgical treatment is an emergency, being the only therapeutic technique that can save the patient's life.

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Section: Discussionmentioning

confidence: 99%

Gallstone Ileus Caused by a Cholecysto-Duodeno-Colic Fistula, Case Report And Literature Review

Suciu

Hălmaciu

Vunvulea

et al. 2017

ARS Medica Tomitana

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“…Biliary tract fistulas are categorized into spontaneous and post-operative types. Spontaneous biliary-enteric fistulas are produced by gallstones (90%), peptic ulcer disease (6%) and malignancy or trauma (4%) [1][2][3][4].…”

Section: Discussionmentioning

confidence: 99%

“…CDF is the most common biliary-enteric fistula [1][2][3][4]. Clinical presentation is variable and may include a history of pain in the right upper quadrant and/or epigastrium, jaundice, and flatulent dyspepsia that is aggravated with the intake of fried food [3].…”

Section: Introductionmentioning

confidence: 99%

An Unusual Presentation of Cholecystoduodenal Fistula: Massive Upper Gastrointestinal Bleeding

Bard¹

2014

J Gastrointest Dig Syst

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“…The bilioenteric fistulas, first described in 1890 by Courvoisier, were found in 0.15% -8% of biliary tract operations. Out of which about 70% are Cholecystoduodenal and 8% to 26.5% are cholecystocolic and usually located at the hepatic flexure, with higher incidence in the elderly and in women [2]- [5]. Internal biliary fistula (IBF) is associated with chronic cholelithiasis in 90% of the cases.…”

Section: Introductionmentioning

confidence: 99%

“…As the symptoms of IBF include abdominal pain, fever, nausea, vomiting, flatulence, fat intolerance, diarrhoea and weight loss, which are all non-specific and seen in most gastrointestinal pathologies, the diagnosis is often not suspected preoperatively [7]. The diagnosis is usually made preoperatively [8]- [10].…”

Section: Introductionmentioning

confidence: 99%

Cholecystoduodenocolic Fistula: An Unexpected Intraoperative Finding, a Surgical Challenge

Bhat¹,

Jain²,

Lal³

2016

IJCM

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The bilioenteric fistulas, first described in 1890 by Courvoisier, are found in 0.15% -8% of biliary tract operations. Combined fistulas involving the gallbladder, duodenum and colon are extremely rare. We presented a case of 38 year female who presented to our OPD with complaints of pain right upper abdomen for seven months in whom a cholecysto-duodenocolic fistula (Figure 1 & Figure 2) was found during surgery which was repaired primarily. Gallstone disease is a common problem in hepatobiliary system and may rarely present as cholecysto-enteric fistula. The most common type of biliary enteric fistula is Cholecystoduodenal fistula (70%). Cholecysto-duodenocolic (CDC) fistula is a rare complication of cholelithiasis. The standard treatment of IBF is cholecystectomy and repair of the fistulous opening. Although very rare a cholecystoduodenocolic fistula should be kept as a possibility when there are adhesions between GB, duodenum and colon. Conversion to open surgery should be considered early when the anatomy is not clear to prevent iatrogenic injury.

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Cholecystoenteric fistula (CF) is not a contraindication for laparoscopic surgery

Cited by 80 publications

References 9 publications

Gallstone Ileus Caused by a Cholecysto-Duodeno-Colic Fistula, Case Report And Literature Review

Gallstone Ileus Caused by a Cholecysto-Duodeno-Colic Fistula, Case Report And Literature Review

An Unusual Presentation of Cholecystoduodenal Fistula: Massive Upper Gastrointestinal Bleeding

Cholecystoduodenocolic Fistula: An Unexpected Intraoperative Finding, a Surgical Challenge

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