CHOLECYSTOCOLIC FISTULA : A RARE ENTITY

Authors

  • Jaweed Vayani
  • M. Ziyad Abubacker
  • Irfan Mamoun
  • Zergham Zia
  • Stephen Murphy
  • Badr Bannan

Abstract

Abstract

Cholecystocolic fistula is the most infrequent biliary enteric fistula, causing significant morbidity and representing a diagnostic challenge. Modern diagnostic tools, like crossectional imaging is required preoperatively. These fistulae are treated mostly by open as well as laparoscopic surgery.

 

We report an imaging review of Cholecystocholic fistula. Patient present with abdominal pain & bleeding per rectum. Previous ultrasound was done few months ago with cholelithiasis, because of acute abdomen we directly precede with Computed Tomography abdomen with I/V contrast. The case was finally diagnosed on the CT scan abdomen as Cholecystocolic fistula in the background of Acute cholecystitis.

 

Computed Tomography is the best tool not only to diagnose but findings the complication associated with Cholecysto-Colic /Enteric Fistula.

 

Keywords: Biliary-enteric fistula, Complicated acute cholecystitis, Cholecystocolic fistula

 

Author Biographies

Jaweed Vayani

Dr. Jaweed Vayani

Asst. Consultant Radiologist

Department of Radiology

King Faisal Specialist Hospital & Research Centre, Jeddah

 

M. Ziyad Abubacker

Section Head Body Imaging, Consultant Radiologist

Department of Radiology

King Faisal Specialist Hospital & Research Centre, Jeddah

 

Irfan Mamoun

Chairman, Department of Radiology

King Faisal Specialist Hospital & Research Centre, Jeddah

Zergham Zia

Director Residency,

Consultant Radiologist,

Department of Radiology

King Faisal Specialist Hospital & Research Centre, Jeddah

Stephen Murphy

Consultant Radiologist

Department of Radiology

King Faisal Specialist Hospital & Research Centre, Jeddah

Badr Bannan

Resident

Department of Radiology

King Faisal Specialist Hospital & Research Centre, Jeddah

References

REFERENCE

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Arvanitidis D, Anagnostopoulos GK, Tsiakos S, Margantinis G, Kostopoulos P. Cholecystocolic fistula demonstrated by endoscopic retrograde cholangiopancreatography. Postgrad Med J. 2004;80:526. [PMCID: PMC1743101] [PubMed: 15356353]

Angrisani L, Corcione F, Tartaglia A, Tricarico A, Rendano F, Vincenti R, et al. Cholecystoenteric fistula (CF) is not a contraindication for laparoscopic surgery. Surg Endosco. 2001;15:1038–41.

Glenn F, Reed C, Grafe WR. Biliary enteric fistula. Surg Gynecol Obstet. 1981;153:527–31. [PubMed: 7280941]

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Published

11-06-2017

How to Cite

Vayani, J., Abubacker, M. Z., Mamoun, I., Zia, Z., Murphy, S., & Bannan, B. (2017). CHOLECYSTOCOLIC FISTULA : A RARE ENTITY. Pakistan Journal of Radiology, 27(3). Retrieved from https://www.pakjr.com/index.php/PJR/article/view/632

Issue

Section

Case Reports