Spontaneous cholecystocolic fistula: an uncommon complication of chronic cholecystitis

Agrawal, Vishakha; Joshi, Utsav; Manandhar, Sarita

doi:10.1002/ccr3.1215

Cited by 2 publications

(3 citation statements)

References 7 publications

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“…It accounts for less than 20% of all cholecystoenteric fistulas. Previous research suggested that it is encountered in one per 1,000 of cholecystectomy operations [3]. In our case, the patient's age was relatively younger than what is commonly reported.…”

Section: Discussioncontrasting

confidence: 42%

Colonic Gallstone Ileus: A Rare Etiology of Large Bowel Obstruction

Alshehri¹,

Aljuhani²,

Alotaibi³

et al. 2021

Cureus

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Large bowel obstruction is a surgical emergency that requires prompt diagnosis and management. It is frequently caused by colon cancer. However, the common benign etiologies include volvulus, hernia, adhesions, and strictures. Imaging studies are essential to establish the diagnosis and identify the etiology. We present the case of a 44-year-old female who presented to the emergency department with abdominal pain and distension for a one-week duration. The pain was associated with decreased bowel motions and vomiting. Her past medical history was significant for diabetes mellitus, dyslipidemia, polycystic ovarian syndrome, and recurrent episodes of biliary colic. Upon examination, she had tachycardia, normal temperature, and normal blood pressure. Abdominal examination revealed a distended abdomen with generalized tenderness and increased intensity of bowel sounds. The laboratory markers were noncontributory. Abdominal computed tomography (CT) scan of the abdomen with intravenous contrast demonstrated the presence of an oval-shaped hypodense intraluminal mass in the sigmoid colon where there was a transition point with proximal colonic dilatation. There was an abnormal communication between the gallbladder and the colon at the hepatic flexure, representing a cholecystocolic fistula tract. This represents a mechanical obstruction of the large bowel due to migrated gallstone through a cholecystocolic fistula tract. The patient was prepared for an emergency laparotomy. The gallstone was removed, and the sigmoid colon was sutured primarily. Resection of the gallbladder was made with the closure of the fistula tract. Following the surgery, the patient reported a resolution of her abdominal pain. Oral feeding was started gradually. After six months of close follow-up, the patient remained asymptomatic with no new complaints. Cholecystocolic fistula is a very rare complication of gallbladder disease. Despite its rarity, surgeons should remember this etiology of large intestinal obstruction when they encounter a patient with gallbladder disease.

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Section: Discussioncontrasting

confidence: 42%

Colonic Gallstone Ileus: A Rare Etiology of Large Bowel Obstruction

Alshehri¹,

Aljuhani²,

Alotaibi³

et al. 2021

Cureus

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“…The report highlights the first documented CVF, a term devised from this case. The patient presented with abdominal pain, which is also a symptom of other cholecystic fistulas, 2,3 but also had frequent UTIs and biliuria which seem to be unique to this case. Interestingly, the diagnosis of a CVF was clear preoperatively, based on the CT scan, magnetic resonance cholangiopancreatography, and clinical presentation.…”

Section: Discussionmentioning

confidence: 69%

“…The most common type of internal biliary fistula is a cholecystoduodenal fistula, which accounts for 75% of all cholecystoenteric fistulas. 1,2 Cholecystocolonic fistula is the second most common type (10%–20%). 1,3,4 The patient exhibited a cholecystovesicular fistula (CVF), a newly coined term to indicate a fistula between the gallbladder and the urinary bladder.…”

Section: Introductionmentioning

confidence: 99%

Bladder Networking: A Unique Case of Cholecystovesicular Fistula

et al. 2019

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We present a case of a 60-year-old woman with chronic lower abdominal pain and green urine. Further workup revealed a cholecystovesicular fistula (CVF), a newly coined term to indicate a fistula between the gallbladder and the urinary bladder. The CVF was treated surgically. The pathophysiology of CVF is thought to result from gallbladder perforation into the liver. Over time, a tract forms inferiorly until it meets another organ, in this case, the urinary bladder. This later complication of the gallbladder disease joins the broader spectrum of cholecystic fistulas. To our knowledge, a CVF has never been reported in the literature.

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Spontaneous cholecystocolic fistula: an uncommon complication of chronic cholecystitis

Cited by 2 publications

References 7 publications

Colonic Gallstone Ileus: A Rare Etiology of Large Bowel Obstruction

Colonic Gallstone Ileus: A Rare Etiology of Large Bowel Obstruction

Bladder Networking: A Unique Case of Cholecystovesicular Fistula

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