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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| Language: | English |
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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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| author | James S. Barnett Hannah M. Story Kevin K. Yu Salem Muayad |
| author_facet | James S. Barnett Hannah M. Story Kevin K. Yu Salem Muayad |
| author_sort | James S. Barnett |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-18d6c19f9ed84e7da3a7ed17387c8f9d |
| institution | OA Journals |
| issn | 2767-7664 |
| language | English |
| publishDate | 2024-09-01 |
| publisher | American College of Physicians |
| record_format | Article |
| series | Annals of Internal Medicine: Clinical Cases |
| spelling | doaj-art-18d6c19f9ed84e7da3a7ed17387c8f9d2025-08-20T02:27:29ZengAmerican College of PhysiciansAnnals of Internal Medicine: Clinical Cases2767-76642024-09-013910.7326/aimcc.2024.0249An Unusual Presentation of Cholecystocolonic Fistula and Subacute Colonic ObstructionJames S. Barnett0Hannah M. Story1Kevin K. Yu2Salem Muayad31The University of Texas Health Science Center at Houston, Houston, Texas1The University of Texas Health Science Center at Houston, Houston, Texas2UTHealth Department of Gastroenterology, Hepatology and Nutrition, Houston, Texas2UTHealth Department of Gastroenterology, Hepatology and Nutrition, Houston, TexasA 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.https://www.acpjournals.org/doi/10.7326/aimcc.2024.0249 |
| spellingShingle | James S. Barnett Hannah M. Story Kevin K. Yu Salem Muayad An Unusual Presentation of Cholecystocolonic Fistula and Subacute Colonic Obstruction Annals of Internal Medicine: Clinical Cases |
| title | An Unusual Presentation of Cholecystocolonic Fistula and Subacute Colonic Obstruction |
| title_full | An Unusual Presentation of Cholecystocolonic Fistula and Subacute Colonic Obstruction |
| title_fullStr | An Unusual Presentation of Cholecystocolonic Fistula and Subacute Colonic Obstruction |
| title_full_unstemmed | An Unusual Presentation of Cholecystocolonic Fistula and Subacute Colonic Obstruction |
| title_short | An Unusual Presentation of Cholecystocolonic Fistula and Subacute Colonic Obstruction |
| title_sort | unusual presentation of cholecystocolonic fistula and subacute colonic obstruction |
| url | https://www.acpjournals.org/doi/10.7326/aimcc.2024.0249 |
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