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Spontaneous cholecystocolic fistula: case report
Nandkishore Gora1, Amit Singh2, Sharad Jain3
1Senior Resident, Department of Surgery, Fortis Escorts Hospital , Jaipur, Rajasthan, India .
Summary
Cholecystocolic fistula, a rare biliary-enteric connection, often presents subtly. High suspicion and incidental surgical discovery are key for diagnosing and treating this condition, even with advanced imaging.
Area of Science:
- Gastroenterology and Hepatobiliary Surgery
Background:
- Cholecystocolic fistula is a rare type of biliary-enteric fistula.
- Clinical presentation is variable, often lacking specific diagnostic indicators.
Observation:
- A 50-year-old female with chronic cholecystitis and cholelithiasis underwent investigation.
- Routine laboratory tests and abdominal ultrasonography failed to reveal the fistula.
- The cholecystocolic fistula was incidentally discovered during open surgery.
Findings:
- The fistula was identified intraoperatively, necessitating appropriate surgical management.
- Surgical treatment, whether open or laparoscopic, showed no significant difference in outcomes.
- The case highlights the challenges in preoperative diagnosis of this rare condition.
Implications:
- Emphasizes the need for a high index of suspicion for cholecystocolic fistula in relevant cases.
- Suggests that incidental intraoperative findings remain crucial for diagnosing rare biliary anomalies.
- Reinforces that surgical intervention is effective, with comparable outcomes between open and laparoscopic approaches.
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