Skip to main content
SpringerLink
Log in

Massive lower gastrointestinal hemorrhage from cholecystocolic fistula

  • Published:
Diseases of the Colon & Rectum

Summary and Conclusions

A case of spontaneous internal biliary fistula involving the gallbladder and colon has been presented. Unusual features included massive bleeding from the rectum due to erosion of the cystic artery and the presence of a granulomatous mass in the colon adjacent to the fistula. Treatment consisted of ligation of the bleeding artery, tube cholecystostomy and removal of the involved segment of colon, which resulted in a fecal fistula which closed spontaneously. Subsequently the patient recovered fully.

Massive bleeding of unknown origin from the rectum should arouse suspicion of biliary tract disease. Gastrointestinal bleeding manifested as melena is uncommon in cholecystoenteric fistulas.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Chaffee, J. S.: Cholecystocolic fistula with large bowel hemorrhage. Ann. Surg.152: 901, 1960.

    Article  PubMed  CAS  Google Scholar 

  2. Heusser: Quoted by White, F. W. and I. R. Junkelson: Gastrointestinal hemorrhage in disease of the gall bladder. New Eng. J. Med.205: 793, 1931.

    Article  Google Scholar 

  3. Judd, E. S. and V. G. Burden: Internal biliary fistula. Ann. Surg.81: 305, 1925.

    Article  PubMed  CAS  Google Scholar 

  4. Marshak, R. H. and W. Henkin: Cholecystocolic fistula. Radiology.53: 555, 1949.

    PubMed  CAS  Google Scholar 

  5. Medelman, J. P.: Cholecystocolic fistula: Case report. Am. J. Roentgenol.36: 52, 1936.

    Google Scholar 

  6. Nisi: Interne ad un Easo di Litiasi Biliare. Policlinico (sez. prat.) No. 25, 1926.

  7. Puestow, C. B.: Spontaneous internal biliary fistula. Ann. Surg.115: 1043, 1942.

    PubMed  CAS  Google Scholar 

  8. Wakefield, E. G., P. M. Vickers and W. Walters: Cholecystoenteric fistulas. Surgery.5: 674, 1939.

    Google Scholar 

  9. Whitman, E. J., L. A. Buie, Jr., K. A. Huizenga and J. M. Waugh: Cystic artery—Cystic duct fistula: An unusual cause of gastrointestinal hemorrhage: Report of case. Proc. Staff Meet., Mayo Clin.35: 551, 1960.

    CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. From the Department of Surgery, St. Francis Hospital, Hartford, Connecticut

    Bernard J. Kaplan M.D.

Authors
  1. Bernard J. Kaplan M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

Additional information

Read at the meeting of the American Proctologic Society, Cleveland, Ohio, June 20 to 22, 1966.

About this article

Cite this article

Kaplan, B.J. Massive lower gastrointestinal hemorrhage from cholecystocolic fistula. Dis Colon Rectum 10, 191–196 (1967). https://doi.org/10.1007/BF02617178

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02617178

Keywords

Search

Navigation