Case Report
Volume: 5 | Issue: 10 | Published: Nov 12, 2021 | Pages: 287 - 291 | DOI: 10.24911/ejmcr/173-1616515169
Laparoscopic approach for coexisting cholecystogastric and cholecystocolonic fistula: a case report
Authors: Albert Troci , Angelo Gabriele Epifani , Alessandro Michele Bonomi , Michele Crespi , Piergiorgio Danelli
Article Info
Authors
Albert Troci
Department of General Surgery, Luigi Sacco University Hospital, Università degli Studi di Milano, Milan, Italy
Angelo Gabriele Epifani
Department of General Surgery, Luigi Sacco University Hospital, Università degli Studi di Milano, Milan, Italy
Alessandro Michele Bonomi
Department of General Surgery, Luigi Sacco University Hospital, Università degli Studi di Milano, Milan, Italy
Michele Crespi
Department of General Surgery, Luigi Sacco University Hospital, Università degli Studi di Milano, Milan, Italy
Piergiorgio Danelli
Department of General Surgery, Luigi Sacco University Hospital, Università degli Studi di Milano, Milan, Italy
Publication History
Received: March 23, 2021
Revised: June 26, 2021
Accepted: October 11, 2021
Published: November 12, 2021
Abstract
Background: Cholecystoenteric fistula (CEF) is a rare intraoperative finding during video laparoscopic cholecystectomy. The presence of a double cholecystogastric (CGF) and cholecystocolonic fistula (CCF) is even more rare, and its management is not fully codified. Case Presentation: We present the case of a 26-year-old woman known for cholelithiasis and a previous episode of uncomplicated acute cholecystitis and subsequent indication to elective cholecystectomy. Routine pre-operative studies did not show signs of biliary abnormalities. Intraoperative findings consisted of a coexisting CGF and CCF, which were successfully treated laparoscopically. Conclusion: Laparoscopic approach can be safe and feasible in selected cases of double complete CEFs.
Keywords: Case report, cholecystoenteric fistula, cholecystocolonic, cholecystogastric, cholecystectomy, laparoscopy, green
