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Spontaneous multiple cholecystoenteric fistulas--a case report.
K K Kuo1, P C Sheen, S C Chang
1Department of Surgery, Kaohsiung Medical University Hospital, Taiwan, Republic of China.
The Kaohsiung Journal of Medical Sciences
|January 12, 2000
Summary
Multiple spontaneous cholecystoenteric fistulas are rare complications of chronic cholecystitis. This case highlights successful surgical management of coexisting cholecystoduodenal and cholecystocolonic fistulas.
Area of Science:
- Gastroenterology
- Surgical Case Report
Background:
- Spontaneous cholecystoenteric fistulas are uncommon complications of chronic cholecystitis.
- These fistulas involve abnormal connections between the gallbladder and the gastrointestinal tract.
Observation:
- A 65-year-old woman presented with fever, jaundice, diarrhea, and right upper quadrant pain.
- Plain abdominal X-ray revealed pneumobilia, a key indicator of bilioenteric fistula.
Findings:
- Preoperative diagnostics including barium enema, upper GI series, and ERCP accurately identified one cholecystoduodenal and two cholecystocolonic fistulas.
- Surgical exploration confirmed the fistulas, leading to successful cholecystectomy, fistula division, and primary bowel repair.
Implications:
- This case underscores the importance of comprehensive diagnostic workup for suspected bilioenteric fistulas.
- Successful surgical intervention can lead to favorable patient outcomes in complex fistula cases.