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

Abstract

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

References

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

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

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.