Emergency surgery for acute cholecystitis caused by cholecystocolonic fistula

Authors

  • Angel F. Vera-Portilla Hospital Regional Honorio Delgado. Arequipa, Perú; Asociación de Médicos Residentes del Hospital Regional Honorio Delgado. Arequipa, Perú. https://orcid.org/0000-0002-4128-8990
  • Walter Vera-Portilla Hospital Regional Honorio Delgado. Arequipa, Perú.
  • Jose Luis Galdós Hospital Regional Honorio Delgado. Arequipa, Perú.
  • Edwin Bustinza Flores Hospital Goyeneche, Arequipa, Perú.
  • Darling Cornejo Valencia Hospital Regional Honorio Delgado. Arequipa, Perú.
  • Sandra Terrazas Díaz Hospital Cívico Policial MY. Julio Pinto Manrique. Arequipa, Perú.

DOI:

https://doi.org/10.15381/anales.v82i2.21036

Keywords:

Acute Cholecystitis, Cholelithiasis, Biliary Fistula, Surgery, Emergencies

Abstract

Cholecystocolonic fistula (CCF) is a rare complication of cholelithiasis. They are often asymptomatic, difficult to diagnose preoperatively, it despite radiological support, and they are discovered incidentally perioperatively. We present the case of a woman with acute cholecystitis, who was operated by laparoscopy, and a CCF was evidenced, it was resolved by conversion to open surgery. FCC can be complicated and simulate acute abdominal symptoms. It should be taken into account in older adults with a history of cholelithiasis and scleroatrophic vesicles with adhesions. Very few cases have been described in the literature, and none in our country. We present a case of FCC that was admitted as acute cholecystitis, and the diagnosis and treatment of it were during her surgery.

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Published

2021-08-17

Issue

Section

Reporte de Casos

How to Cite

1.
Vera-Portilla AF, Vera-Portilla W, Galdós JL, Bustinza Flores E, Cornejo Valencia D, Terrazas Díaz S. Emergency surgery for acute cholecystitis caused by cholecystocolonic fistula. An Fac med [Internet]. 2021 Aug. 17 [cited 2024 Aug. 16];82(2). Available from: https://revistasinvestigacion.unmsm.edu.pe/index.php/anales/article/view/21036