Work

Biliary Colonic Fistula Formation in the Setting of Obstructive Cholelithiasis

Year: 2024

Type: article

Abstract: Biliary enteric fistulas are rare form of internal biliary fistula encountered in <1% of patients with biliary disease while cholecystocolic fistulas are even rarer with reported incidence of 0.06%-0.14% in patients undergoing cholecystectomy. We present a case of biliary colonic fistula that developed in the context of obstructive cholelithiasis, emphasizing a pathological process involving chronic inflammation due to gallstone with a gradual erosion into the surrounding structure. A high index of suspicion is required for diagnosis, given the presentation with nonspecific symptoms. Given the risk of imminent cholangitis, sepsis, and liver parenchymal damage, early treatment with cholecystectomy with the closure of the fistula is recommended.

Source: ACG Case Reports Journal

DOI: 10.14309/crj.0000000000001525

Authors: Muhammad Mushtaq, Ayesha Khan, Minh Tran, John Walker, Sreeram Parupudi

Institution: The University of Texas Medical Branch at Galveston

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: W4402924147

FWCI: 0.507

Cites: 14

Cited by: 2

Related to: 10