Treatment of cholecystocolonic fistula by laparoscopy

Cholecystocolonic fistula is an unusual complication of biliary tract disease. Many of the signs and symptoms of these fistulas are nonspecific, so the diagnosis is often not suspected preoperatively. It is important to make the diagnosis then to prevent fecal contamination when the fistula is divid...

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Bibliographic Details
Published in:Surgical endoscopy 1995-06, Vol.9 (6), p.728-729
Main Authors: Ibrahim, I M, Wolodiger, F, Saber, A A, Dennery, B
Format: Article
Language:English
Subjects:
Aged
Biliary Fistula - complications
Biliary Fistula - diagnosis
Biliary Fistula - surgery
Cholangiopancreatography, Endoscopic Retrograde
Cholecystectomy, Laparoscopic - methods
Cholelithiasis - complications
Cholelithiasis - diagnosis
Cholelithiasis - surgery
Colonic Diseases - complications
Colonic Diseases - diagnosis
Colonic Diseases - surgery
Female
Gallbladder Diseases - complications
Gallbladder Diseases - diagnosis
Gallbladder Diseases - surgery
Humans
Intestinal Fistula - complications
Intestinal Fistula - diagnosis
Intestinal Fistula - surgery
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Summary:Cholecystocolonic fistula is an unusual complication of biliary tract disease. Many of the signs and symptoms of these fistulas are nonspecific, so the diagnosis is often not suspected preoperatively. It is important to make the diagnosis then to prevent fecal contamination when the fistula is divided. We recently encountered a patient who, while undergoing laparoscopic cholecystectomy, was found to have a fistula between the gallbladder and the proximal transverse colon. Important features in the management of this case are (1) maintaining a high index of suspicion for the presence of this complication, (2) use of cholecystography to establish the diagnosis, and (3) use of laparoscopic stapling techniques to divide the fistula while preventing fecal soilage.
ISSN:0930-2794