Case Reports

Surgical Endoscopy

, Volume 4, Issue 1, pp 39-40

Cholecystocolic fistula: an unusual presentation and diagnosis by endoscopic retrograde cholangiopancreatography

  • Ronald F. SingAffiliated withDepartment of Surgery, Abington Memorial Hospital
  • , Scott F. GarbermanAffiliated withDepartment of Surgery, Abington Memorial Hospital
  • , Arthur M. FrankelAffiliated withDepartment of Surgery, Abington Memorial Hospital
  • , Martin ChatzinoffAffiliated withDivision of Gastroenterology, Abington Memorial Hospital

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Summary

This report describes a patient with a cholecystocolic fistula whose presentation was unusual because it lacked the signs and symptoms that suggest biliary disease (abdominal pain, food intolerance, and belching) and because the fistula was not visualized on barium enema but was apparent on endoscopic retrograde cholangiopancreatography after incidental pneumobilia discovered on ultrasound directed our attention to the biliary tree. A previous Billroth II with vagotomy may have predisposed to the development of the fistula.

Key words

Enterobiliary fistulas Cholecystocolic fistulas Steatorrhea Pneumobilia Endoscopic retrograde cholangiopancreatography