Asymptomatic Cholecystocolonic Fistula: A Diagnostic and Therapeutic Dilemma
Cholecystocolonic fistulas (CCF) are rare complications of gallstones with a variable clinical presentation. Despite modern diagnostic tools, cholecystocolonic fistulas are often asymptomatic and it is difficult to diagnose them preoperatively. Biliary-enteric fistulae have been found in 0.9% of pat...
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| Format: | Article |
| Language: | English |
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Wiley
2013-01-01
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| Series: | Case Reports in Surgery |
| Online Access: | http://dx.doi.org/10.1155/2013/754354 |
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| author | Nicola Antonacci Giovanni Taffurelli Riccardo Casadei Claudio Ricci Francesco Monari Francesco Minni |
| author_facet | Nicola Antonacci Giovanni Taffurelli Riccardo Casadei Claudio Ricci Francesco Monari Francesco Minni |
| author_sort | Nicola Antonacci |
| collection | DOAJ |
| description | Cholecystocolonic fistulas (CCF) are rare complications of gallstones with a variable clinical presentation. Despite modern diagnostic tools, cholecystocolonic fistulas are often asymptomatic and it is difficult to diagnose them preoperatively. Biliary-enteric fistulae have been found in 0.9% of patients undergoing biliary tract surgery. The most common site of communication of the fistula is the cholecystoduodenal (70%), followed by the cholecystocolic (10–20%), and the least common is the cholecystogastric fistula. Herein, we report a case of female patient with multiple episodes of acute recurrent cholangitis due to common bile duct and gallbladder stones in which preoperative imaging studies were negative for cholecystocolonic fistula that was incidentally discovered and treated during surgery and was appropriately treated. A review of the literature is reported too. |
| format | Article |
| id | doaj-art-496dea34372f40d8b0dc78d9ed48288f |
| institution | Kabale University |
| issn | 2090-6900 2090-6919 |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Surgery |
| spelling | doaj-art-496dea34372f40d8b0dc78d9ed48288f2025-08-20T03:36:48ZengWileyCase Reports in Surgery2090-69002090-69192013-01-01201310.1155/2013/754354754354Asymptomatic Cholecystocolonic Fistula: A Diagnostic and Therapeutic DilemmaNicola Antonacci0Giovanni Taffurelli1Riccardo Casadei2Claudio Ricci3Francesco Monari4Francesco Minni5Department of General and Emergency Surgery, University of Bologna, S. Orsola-Malpighi Hospital, Via Massarenti 9, 40138 Bologna, ItalyDepartment of General and Emergency Surgery, University of Bologna, S. Orsola-Malpighi Hospital, Via Massarenti 9, 40138 Bologna, ItalyDepartment of General and Emergency Surgery, University of Bologna, S. Orsola-Malpighi Hospital, Via Massarenti 9, 40138 Bologna, ItalyDepartment of General and Emergency Surgery, University of Bologna, S. Orsola-Malpighi Hospital, Via Massarenti 9, 40138 Bologna, ItalyDepartment of General and Emergency Surgery, University of Bologna, S. Orsola-Malpighi Hospital, Via Massarenti 9, 40138 Bologna, ItalyDepartment of General and Emergency Surgery, University of Bologna, S. Orsola-Malpighi Hospital, Via Massarenti 9, 40138 Bologna, ItalyCholecystocolonic fistulas (CCF) are rare complications of gallstones with a variable clinical presentation. Despite modern diagnostic tools, cholecystocolonic fistulas are often asymptomatic and it is difficult to diagnose them preoperatively. Biliary-enteric fistulae have been found in 0.9% of patients undergoing biliary tract surgery. The most common site of communication of the fistula is the cholecystoduodenal (70%), followed by the cholecystocolic (10–20%), and the least common is the cholecystogastric fistula. Herein, we report a case of female patient with multiple episodes of acute recurrent cholangitis due to common bile duct and gallbladder stones in which preoperative imaging studies were negative for cholecystocolonic fistula that was incidentally discovered and treated during surgery and was appropriately treated. A review of the literature is reported too.http://dx.doi.org/10.1155/2013/754354 |
| spellingShingle | Nicola Antonacci Giovanni Taffurelli Riccardo Casadei Claudio Ricci Francesco Monari Francesco Minni Asymptomatic Cholecystocolonic Fistula: A Diagnostic and Therapeutic Dilemma Case Reports in Surgery |
| title | Asymptomatic Cholecystocolonic Fistula: A Diagnostic and Therapeutic Dilemma |
| title_full | Asymptomatic Cholecystocolonic Fistula: A Diagnostic and Therapeutic Dilemma |
| title_fullStr | Asymptomatic Cholecystocolonic Fistula: A Diagnostic and Therapeutic Dilemma |
| title_full_unstemmed | Asymptomatic Cholecystocolonic Fistula: A Diagnostic and Therapeutic Dilemma |
| title_short | Asymptomatic Cholecystocolonic Fistula: A Diagnostic and Therapeutic Dilemma |
| title_sort | asymptomatic cholecystocolonic fistula a diagnostic and therapeutic dilemma |
| url | http://dx.doi.org/10.1155/2013/754354 |
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