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Case Reports
. 2010 Jan;395(1):95-7.
doi: 10.1007/s00423-009-0517-5. Epub 2009 Jun 13.

Cholecystocolonic fistula prevents upper intestinal obstruction by a large gallstone after perforation into the duodenum

Stephan Engelberger  1 , Jochen Schuld, Martin K Schilling, Otto Kollmar
Affiliations
Case Reports

Cholecystocolonic fistula prevents upper intestinal obstruction by a large gallstone after perforation into the duodenum

Stephan Engelberger et al. Langenbecks Arch Surg. 2010 Jan.

Abstract

Background: Bilioenteric fistulas are rare complications of cholecystolithiasis that are associated with high morbidity and mortality and mainly appear in elderly patients.

Case presentation: This is the report of a patient suffering from cholecystoduodenal fistula with additional cholecystocolonic fistula.

Discussion: This cholecystocolonic fistula provoked a short bowel syndrome with symptomatic diarrhea and prevented an upper gastrointestinal ileus caused by the large perforated gallstone into the duodenum. This interesting constellation has not been described in literature yet.

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