Gallstone Ileus Caused by a Cholecysto-Duodeno-Colic Fistula, Case Report And Literature Review

Open access

Abstract

Introduction: Complex cholecysto-duodeno-colic fistulas are an extremely rare complication that can occur in patients with cholelithiasis. The aim of this article is to present the case of a pacient with cholecystoduodeno- colic fistula manifested with biliary ileus in a patient known for many years with cholelithiasis. Case report: We present the case of a 62 y/o male that was admitted in our clinic with the diagnosis of gallstone ileus. Emergency surgical intervention was needed. Intraoperatively we discovered a cholecysto-duodenocolic fistula complicated with gallstone ileus. During the operation we practiced retrograde cholecystectomy, closure of the fistulous tract (duodenoraphy, coloraphy), enterotomy and extraction of the calculus located inside the small intestine. The postoperative evolution was favorable. Conclusions: Cholecysto-duodeno-colic fistulas complicated with gallstone ileus are an extremely rare complication that can occur in patients with gallstones. In case of the occurrence of gallstone ileus, the surgical treatment is an emergency, being the only therapeutic technique that can save the patient’s life.

1. Yamashita, H., Chijiiwa, K., Ogawa, Y., Kuroki, S., & Tanaka, M. (1997). The internal biliary fistula-reappraisal of incidence, type, diagnosis and management of 33 consecutive cases. HPB Surgery, 10(3), 143-147.

2. Bhat, G.A., Jain, R. & Lal, P. (2016). Cholecystoduodenocolic Fistula: An Unexpected Intraoperative Finding, a Surgical Challenge. International Journal of Clinical Medicine, 7, 261-264

3. Ross, G.B. (1984). Cholecystoduodenocolic Fistula and Gallstone Ileus. Postgraduate Medical Journal, 60, 698-699

4. Doromal, N.M., & Estacio, R., Sherman, H. (1975). Cholecysto-duodeno-colic fistula with gallstone ileus : report of a case. Disease of the Colon & Rectum, 18,8,702-705

5. Costi, R., Randone, B., Violi, V., Scatton, O., Sarli, L., Soubrane, O., Dousset, B. & Montariol, T. (2009). Cholecystocolonic fistula: facts and myths. A review of the 231 published cases. J Hepatobiliary Pancreat Surg. 16(1), 8-18. doi:

6. Glenn, F., Reed, C. & Grafe, W.R. (1981). Biliary enteric fistula. Surg Gynecol Obstet. 153,527-531

7. Hession, P.R., Rawlinson, J., Hall, J.R., Keating, J.P. & Guyer, P.B. (1996). The clinical and radiological features of cholecystocolic fistulae. Br J Radiol. 69,804-809

8. Angrisani, L., Corcione, F., Tartaglia, A., Tricarico, A., Rendano, F., Vincenti, R., Lorenzo, M., Aiello, A., Bardi, U., Bruni, D., Candela, S., Caracciolo, F., Crafa, F., De Falco, A., De Werra, C., D'Errico, R., Giardiello, C., Petrillo, O. & Rispoli, G. (2001). Cholecystoenteric fistula (CF) is not a contraindication for laparoscopic surgery. Surg Endosc.15:1038-1041

9. Chowbey, P.K., Bandyopadhyay, S.K., Sharma, A., Khullar, R., Soni, V. & Baijal, M., (2006). Laparoscopic management of cholecystoenteric fistulas. J Laparoendosc Adv Surg Tech A. 16:467-472.

10. Gibbons, C.P. & Ross, B. (1984). Cholecystoduodenocolic fistula and gallstone ileus. Postgraduate Medical Journal, 60,698-699

11. Rosenqvist, H. & Sjoberg, S.G. (1955). Duodenocolic fistulas. Acta Chir Scand. 109,293-298

12. Levrat, M., Bret, P., Romier, H. & Grivet, A. (1957). Cholecystocolic fistula with cholelithiasis causing chronic diarrhea. Arch Mal Appar Dig Mal Nutr. 46,879-886

13. Isherwood, I. & MacCaig, J. (1963). Cholecystoduodeno- colic fistula presenting with megaloblastic anaemia. Clin Radiol. 14,91-93

14. Ibrahim, I.M., Wolodiger, F., Saber, A.A. & Dennery, B. (1995). Treatment of cholecystocolonic fistula by laparoscopy. Surg Endosc. 9, 728-729.

15. Hession, P.R., Rawlinson, J., Hall, J.R., Keating, J.P. & Guyer, P.B. (1996). The clinical and radiological features of cholecystocolic fistulae. Br J Radiol. 69,804-809

16. Swinnen, L. & Sainte, T. (1994). Colonic gallstone ileus. J Belge Radiol, 77,272-274

17. Mittendorf, E.A., Goel, A. & Seaman, D. (2004). Image of the month. Cholecystocolonic fistula. Arch Surg. 139:907

18. Chowbey, P.K., Bandyopadhyay, S.K., Sharma, A., Khullar, R., Soni, V. & Baijal, M. (2006). Laparoscopic management of cholecystoenteric fistulas. J Laparoendosc Adv Surg Tech A. 16,467-472.

19. Swinnen, L. & Sainte, T. (1994). Colonic gallstone ileus. J Belge Radiol. 77,272-274

20. Rigler, L.G., Borman, C.N. & Noble, J.F. (1941).Gallstones obstruction: pathogenesis and roentgen manifestations. JAMA. 117,1753-1759

21. Caroli-Bosc, F.X., Ferrero, J.M., Grimaldi, C., Dumas, R., Arpurt, J.P. & Delmont J. (1990). Cholecystocolic fistula: from symptoms to diagnosis. Gastroenterol Clin Biol. 14,767-770.

22. Goldberg, R.I., Phillips, R.S. & Barkin, J.S. (1988). Spontaneous cholecystocolonic fistula treated by endoscopic sphincterotomy. Gastrointest Endosc. 34,55-56.

23. Caroli-Bosc, F.X., Ferrero, J.M., Grimaldi, C., Dumas, R., Arpurt, J.P. & Delmont, J. (1990). Cholecystocolic fistula: from symptoms to diagnosis. Gastroenterol Clin Biol. 14,767-770.

24. Williams, J., Deans, G., Royston, C. & Brough, W. (1995). Laparoscopic management of cholecystocolic fistula. Br J Surg. 82,565.

25. Ibrahim, I.M., Wolodiger, F., Saber, A.A. & Dennery, B. (1995). Treatment of cholecystocolonic fistula by laparoscopy. Surg Endosc. 9,728-7299.

26. Pianalto, S., Rossi, M., Battaglia, G., Pizzato, D. & Ancona, E. (1997). Cholecysto-colic fistula: laparoscopic treatment. Ann Ital Chir. 68,231-233.

ARS Medica Tomitana

The Journal of "Ovidius" University of Constanta

Journal Information

Metrics

All Time Past Year Past 30 Days
Abstract Views 0 0 0
Full Text Views 191 189 27
PDF Downloads 60 59 8