An Unusual Presentation of Cholecystocolonic Fistula and Subacute Colonic Obstruction
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 presente...
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| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
American College of Physicians
2024-09-01
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| Series: | Annals of Internal Medicine: Clinical Cases |
| Online Access: | https://www.acpjournals.org/doi/10.7326/aimcc.2024.0249 |
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| Summary: | 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. |
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| ISSN: | 2767-7664 |