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Cholecystoenteric fistula: a rare complication of necrotizing enterocolitis

Mohammad M Saleem1

  • 1Division of Pediatric Surgery, Department of Surgery, Jordan University Hospital, Amman, Jordan.

Journal of Pediatric Surgery
|October 3, 2003
PubMed

Insights

A rare cholecystoenteric fistula complication was incidentally discovered in an infant during necrotizing enterocolitis treatment. This previously unreported finding occurred during a routine intestinal contrast study before ileostomy closure.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Neonatal Medicine

Background:

  • Necrotizing enterocolitis (NEC) is a serious gastrointestinal emergency in neonates.
  • Surgical management of NEC often involves ileostomy creation.
  • Complications of NEC and its treatment can be diverse and challenging.

Observation:

  • An infant undergoing treatment for necrotizing enterocolitis.
  • Incidental finding of a cholecystoenteric fistula during a routine contrast study of the intestinal tract.
  • The study was performed prior to the planned closure of the infant's ileostomy.

Findings:

  • A cholecystoenteric fistula, a connection between the gallbladder and the intestinal tract, was identified.
  • This specific complication appears to be a novel finding in the context of necrotizing enterocolitis management.
  • The fistula was discovered incidentally, not as the primary indication for the imaging study.

Implications:

  • Highlights the potential for rare and previously unreported complications following NEC.
  • Suggests the need for vigilance in diagnostic imaging for infants with complex gastrointestinal conditions.
  • May inform future diagnostic and management strategies for similar pediatric surgical cases.

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