Cholecystocolonic fistula prevents upper intestinal obstruction by a large gallstone after perforation into the duodenum.
BACKGROUND
Bilioenteric fistulas are rare complications of cholecystolithiasis that are associated with high morbidity and mortality and mainly appear in elderly patients.


METHODS
This is the report of a patient suffering from cholecystoduodenal fistula with additional cholecystocolonic fistula.


CONCLUSIONS
This cholecystocolonic fistula provoked a short bowel syndrome with symptomatic diarrhea and prevented an upper gastrointestinal ileus caused by the large perforated gallstone into the duodenum. This interesting constellation has not been described in literature yet.
Engelberger
Stephan
S
Department of General, Visceral, Vascular and Pediatric Surgery, University of the Saarland, 66421, Homburg/Saar, Germany. stephan.engelberger@uks.eu
Schuld
Jochen
J
Schilling
Martin K
MK
Kollmar
Otto
O
D015746:Abdominal Pain / Q000175:diagnosis / Q000209:etiology; D000369:Aged, 80 and over; D002763:Cholecystectomy / Q000379:methods*; D041761:Cholecystolithiasis / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D042882:Gallstones / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D007412:Intestinal Fistula / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D007415:Intestinal Obstruction / Q000000981:diagnostic imaging / Q000517:prevention & control*; D007430:Intraoperative Care / Q000379:methods; D007813:Laparotomy / Q000379:methods; D018570:Risk Assessment; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome