Work

An Unusual Presentation of Cholecystocolonic Fistula and Subacute Colonic Obstruction

Year: 2024

Type: article

Abstract: A cholecystoenteric fistula is a spontaneous tract formed between an inflamed gallbladder and surrounding gastrointestinal tract. Cholecystoenteric fistulas most commonly occur between the gallbladder and duodenum but can also occur in other areas. We present a case of a 75-year-old man who presented with new-onset constipation. He was found to have a cholecystocolonic fistula identified via magnetic resonance cholangiopancreatography and a 4.2 cm × 3.7 cm × 5.8 cm obstructing gallstone in the sigmoid colon, requiring manual disimpaction under anesthesia. Although rare, cholecystocolonic fistulas should be considered in the differential diagnosis of older persons with intestinal obstructive symptoms.

Source: Annals of Internal Medicine Clinical Cases

DOI: 10.7326/aimcc.2024.0249

Authors: James S. Barnett, Hannah M. Story, Kevin K. Yu, Salem Muayad

Institution: The University of Texas Health Science Center at Houston

Language: English

Topic: Biliary and Gastrointestinal Fistulas

Subfield: Pulmonary and Respiratory Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W4402180630

FWCI:

Cites: 4

Cited by:

Related to: 10