Laparoscopic approach for coexisting cholecystogastric and cholecystocolonic fistula: a case report

Background: Cholecystoenteric fistula (CEF) is a rare intraoperative finding during video laparoscopic cholecystectomy. The presence of a double cholecystogastric (CGF) and cholecystocolonic fistula (CCF) is even more rare, and its management is not fully codified. Case Presentation: We present the...

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Bibliographic Details
Published inEuropean Journal of Medical Case Reports Vol. 5; no. 10; pp. 287 - 291
Main Authors Troci, Albert, Epifani, Angelo, Bonomi, Alessandro, Crespi, Michele, Danelli, Piergiorgio
Format Journal Article
LanguageEnglish
Published London Discover Publishing Group 2021
Subjects
Case reports
Cholecystectomy
Fistula
Gallbladder diseases
Inflammatory diseases
Laparoscopy
Surgical outcomes
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Summary:Background: Cholecystoenteric fistula (CEF) is a rare intraoperative finding during video laparoscopic cholecystectomy. The presence of a double cholecystogastric (CGF) and cholecystocolonic fistula (CCF) is even more rare, and its management is not fully codified. Case Presentation: We present the case of a 26-year-old woman known for cholelithiasis and a previous episode of uncomplicated acute cholecystitis and subsequent indication to elective cholecystectomy. Routine pre-operative studies did not show signs of biliary abnormalities. Intraoperative findings consisted of a coexisting CGF and CCF, which were successfully treated laparoscopically. Conclusion: Laparoscopic approach can be safe and feasible in selected cases of double complete CEFs.
ISSN:2520-4998
2520-4998
DOI:10.24911/ejmcr/173-1616515169