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Cholecystocolonic fistula prevents upper intestinal obstruction by a large gallstone after perforation into the duodenum

  • Case Management and Clinical Consequences
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Abstract

Background

Bilioenteric fistulas are rare complications of cholecystolithiasis that are associated with high morbidity and mortality and mainly appear in elderly patients.

Case presentation

This is the report of a patient suffering from cholecystoduodenal fistula with additional cholecystocolonic fistula.

Discussion

This cholecystocolonic fistula provoked a short bowel syndrome with symptomatic diarrhea and prevented an upper gastrointestinal ileus caused by the large perforated gallstone into the duodenum. This interesting constellation has not been described in literature yet.

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Correspondence to Stephan Engelberger.

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Engelberger, S., Schuld, J., Schilling, M.K. et al. Cholecystocolonic fistula prevents upper intestinal obstruction by a large gallstone after perforation into the duodenum. Langenbecks Arch Surg 395, 95–97 (2010). https://doi.org/10.1007/s00423-009-0517-5

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  • DOI: https://doi.org/10.1007/s00423-009-0517-5

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