Surgical Endoscopy

, Volume 4, Issue 1, pp 39–40

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


  • Ronald F. Sing
    • Department of SurgeryAbington Memorial Hospital
  • Scott F. Garberman
    • Department of SurgeryAbington Memorial Hospital
  • Arthur M. Frankel
    • Department of SurgeryAbington Memorial Hospital
  • Martin Chatzinoff
    • Division of GastroenterologyAbington Memorial Hospital
Case Reports

DOI: 10.1007/BF00591413

Cite this article as:
Sing, R.F., Garberman, S.F., Frankel, A.M. et al. Surg Endosc (1990) 4: 39. doi:10.1007/BF00591413


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 fistulasCholecystocolic fistulasSteatorrheaPneumobiliaEndoscopic retrograde cholangiopancreatography

Copyright information

© Springer-Verlag 1990