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Case Reports
. 2023 Dec 3;19(2):749-752.
doi: 10.1016/j.radcr.2023.10.060. eCollection 2024 Feb.

Cholecystocolonic fistula in exacerbated chronic cholecystitis: A case report

Francesco Manti  1 , Giuliana Conti  1 , Caterina Battaglia  1 , Cesare Oliveti  1 , Angela Commisso  1 , Marco Giurdanella  1 , Domenico Laganà  1
Affiliations
Case Reports

Cholecystocolonic fistula in exacerbated chronic cholecystitis: A case report

Francesco Manti et al. Radiol Case Rep. .

Abstract

The cholecystocolonic fistula (CCF) is an atypical variant of biliary disease, and it is the second most common intestinal fistula after cholecystoduodenal fistula. Intraoperative diagnosis is frequent, which implies challenging surgical management, especially in patients, often aged, with comorbidities. The rarity of this condition, atypical and various presentation, diagnostic and management complexity, makes it a unique surgical entity. We report our experience of an 84-year-old man with a history of chronic cholecystitis who presented with nonspecific symptoms. The imaging tests aroused the suspicion of gallbladder-colic fistula in the preoperative diagnosis, facilitating the subsequent surgical treatment that confirmed the diagnosis.

Keywords: Biliary disease; Cholecystocolonic fistula; T2w and SPAIR-MRI; WBCT.

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Figures

Fig 1:
Fig. 1
Axial MR image of the abdomen (A. T2w, B. SPAIR) demonstrated fluid collection in the gallbladder bed in a chronic inflammation background it.
Fig 2:
Fig. 2
Coronal CT image shows a close approximation of hepatic flexure of colon with the gallbladder which suggests a fistulous communication (arrow).
See this image and copyright information in PMC

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