Acta Scientific Clinical Case Reports

Case Report Volume 3 Issue 1

Large Bowel Obstruction Secondary to Colonic Gallstone Ileus: A Case Report of an Unusual Presentation of Cholecysto-colonic Fistula

Nicole Barnes*, Steve Lau and George Kalogeropoulos

Department of General Surgery, University Hospital Geelong, Australia

*Corresponding Author: Nicole Barnes, Department of General Surgery, University Hospital Geelong, Australia.

Received: October 19, 2021; Published: December 09, 2021


Cholecysto-enteric fistula is a rare complication of gallstone disease. This is a case discussion of cholecysto-colonic fistula to the transverse colon that resulted in a large bowel obstruction secondary to a large gallstone in the descending colon. Attempted retrieval via endoscopy was unsuccessful and the patient required a laparotomy with colotomy for stone extraction. Here we present a case discussion and subsequent management options of a cholecysto-colonic fistula which can be divided into management of the complications of the fistula - which generally occurs in an emergent setting, and management of the fistula itself. The latter, appears to have no clear consensus in the literature and therefore requires a case-by-case discussion in a multidisciplinary setting.

Keywords: Cholecysto-colonic Fistula, Case Report; Gallstone Ileus; Large Bowel Obstruction


  1. Beltran MA., et al. “The relationship of Mirizzi syndrome and cholecystoenteric fistula: Validation of a modified classification”. World Journal of Surgery10 (2008): 2237-2243.
  2. Salam F Zakko and Nezam H Afdhal. “Acute calculous cholecystitis: Clinical features and diagnosis”. UpToDate (2020).
  3. Agha RA., et al. “The SCARE Statement: Consensus-based surgical case report guidelines”. International Journal of Surgery 34 (2016): 180-186.
  4. Costi R., et al. “Cholecystocolonic fistula: Facts and myths. A review of the 231 published cases”. Journal of Hepato-Biliary-Pancreatic Surgery 16 (2009): 8-18.
  5. Farkas N., et al. “A systematic review of gallstone sigmoid ileus management”. Annals of Medicine and Surgery. Elsevier Ltd; 27 (2018): 32-39.
  6. Gibreel W., et al. “Management dilemma of cholecysto-colonic fistula: Case report”. International Journal of Surgery Case Reports 42 (2018): 233-236.


Citation: Nicole Barnes., et al. “Large Bowel Obstruction Secondary to Colonic Gallstone Ileus: A Case Report of an Unusual Presentation of Cholecysto-colonic Fistula". Acta Scientific Clinical Case Reports 3.1 (2022): 03-06.


Copyright: © 2022 Nicole Barnes., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.


Acceptance rate30%
Acceptance to publication20-30 days
Impact Factor1.278

Indexed In

News and Events

  • Certification for Review
    Acta Scientific certifies the Editors/reviewers for their review done towards the assigned articles of the respective journals.
  • Submission Timeline for Upcoming Issue
    The last date for submission of articles for regular Issues is May 30, 2024.
  • Publication Certificate
    Authors will be issued a "Publication Certificate" as a mark of appreciation for publishing their work.
  • Best Article of the Issue
    The Editors will elect one Best Article after each issue release. The authors of this article will be provided with a certificate of "Best Article of the Issue"
  • Welcoming Article Submission
    Acta Scientific delightfully welcomes active researchers for submission of articles towards the upcoming issue of respective journals.

Contact US