Cirugía de emergencia por colecistitis aguda debido a fístula colecistocolónica

Vera-Portilla, Angel F.; Vera-Portilla, Walter; Galdós, Jose Luis; Flores, Edwin Bustinza; Valencia, Darling Cornejo; Díaz, Sandra Terrazas

doi:10.15381/anales.v82i2.21036

Cited by 2 publications

(2 citation statements)

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“…FCC is the second FCE after cholecystoduodenal ones, 2,3 and it is an infrequent and late complication of cholelithiasis, with an incidence of 1/1000 cholecystectomies. 1 Its etiology may be related to a longlasting inflammatory process of the gallbladder, caused by stones.…”

Section: Discussionmentioning

confidence: 99%

Cholecystocolonic fistula, a rare complication of cholelithiasis: case presentation

Rodríguez¹

2022

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Introduction: Cholecystocolonic fistula is usually a rare and late complication of gallstones and is the second most common cholecystoenteric fistula. Objective: To present the case of a cholecystocolonic fistula, a rare complication of cholelithiasis. Presentation of the case: A 50-year-old female patient who comes to our institution for recurrent abdominal pain. Discussion: Patients with FCC usually have a variable clinical presentation and are more often asymptomatic. When symptomatic, patients generally present with diarrhea, abdominal pain, jaundice, fever, nausea, vomiting, steatorrhea, and weight loss. The combination of pneumobilia, chronic diarrhea, and vitamin K malabsorption has been proposed as a pathognomonic triad for cholecystocolonic fistula. Conclusions: Cholecystocolonic fistula is a rare entity, radiologists should be aware of it and should be carefully informed if it occurs together with other hepatobiliary anomalies. The clinical triad pneumobilia, chronic diarrhea, and prolonged prothrombin time is seen in less than one third. Almost three quarters of the cases are asymptomatic and are diagnosed intraoperatively. Where cholecystectomy and repair of the colon wall is the most used treatment method.

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Section: Discussionmentioning

confidence: 99%

Cholecystocolonic fistula, a rare complication of cholelithiasis: case presentation

Rodríguez¹

2022

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“…The triad of pneumobilia, chronic diarrhea, and vitamin K malabsorption has been claimed to be pathognomonic for cholecystocolonic fistula. 2 We present our experience with a woman in her fifth decade of life, intraoperative diagnosis of said cholecystocolonic fistula, which constitutes a surgical entity with a very low incidence in surgical services.…”

Section: Introductionmentioning

confidence: 99%

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2022

MOJS

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Introduction: Cholecystocolonic fistula is usually a rare and late complication of gallstones and is the second most common cholecystoenteric fistula.Objective: To present the case of a cholecystocolonic fistula, a rare complication of cholelithiasis. Presentation of the case: A 50-year-old female patient who comes to our institution for recurrent abdominal pain.Discussion: Patients with FCC usually have a variable clinical presentation and are more often asymptomatic. When symptomatic, patients generally present with diarrhea, abdominal pain, jaundice, fever, nausea, vomiting, steatorrhea, and weight loss. The combination of pneumobilia, chronic diarrhea, and vitamin K malabsorption has been proposed as a pathognomonic triad for cholecystocolonic fistula.Conclusions: Cholecystocolonic fistula is a rare entity, radiologists should be aware of it and should be carefully informed if it occurs together with other hepatobiliary anomalies. The clinical triad pneumobilia, chronic diarrhea, and prolonged prothrombin time is seen in less than one third. Almost three quarters of the cases are asymptomatic and are diagnosed intraoperatively. Where cholecystectomy and repair of the colon wall is the most used treatment method.

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Cirugía de emergencia por colecistitis aguda debido a fístula colecistocolónica

Cited by 2 publications

References 10 publications

Cholecystocolonic fistula, a rare complication of cholelithiasis: case presentation

Cholecystocolonic fistula, a rare complication of cholelithiasis: case presentation

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