Cholecystocolic Fistula: A Diagnostic Dilemma.
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Date
2014-07
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Abstract
Cholecystocolic fistula is a rare biliary-enteric fistula with a variable clinical presentation.
Despite modern diagnostic tools a high degree of suspicion is required to diagnose it
preoperatively1,2. Biliary-enteric fistulae have been found in 0.9% of patients undergoing
biliary tract surgery. The most common site of communication of the fistula is a
cholecystoduodenal (70%), followed by cholecystocolic (10-20%), and the least common is
the cholecystogastric fistula accounting for the remainder of the cases. Even a case of
choledochocolonic fistula through a cystic duct remnant has been reported3. These fistulae
are treated by open as well as laparoscopic surgery with no difference in intraoperative and
postoperative complications. We report a case of obstructive jaundice, which was relieved by
itself and was investigated with abdominal ultrasonography and routine investigations but
none of these gave us any clue to the presence of the fistula which was discovered
incidentally during an open surgery and was appropriately treated.
Description
Keywords
biliary-enteric fistula, cholecystectomy, cholecystocolic fistula
Citation
Sharma N S, Sharma R G, Singh N, Singal K, Chowdhary K. Cholecystocolic Fistula: A Diagnostic Dilemma. Bangladesh Journal of Medical Science. 2014; 13(3): 329-331.