Open AccessCholecystocolonic fistula presenting as a lower gastrointestinal bleeding: Preoperative work-up, treatment options, and literature review
Author(s) -
Marc Dauer,
Oscar K. Serrano
Publication year - 2016
Publication title -
international journal of diagnostic imaging
Language(s) - English
Resource type - Journals
eISSN - 2331-5865
pISSN - 2331-5857
DOI - 10.5430/ijdi.v4n1p20
Subject(s) - medicine , fistula , economic shortage , surgery , general surgery , gastrointestinal bleeding , linguistics , philosophy , government (linguistics)
Cholecystocolonic fistulae are the second most common choloenteric fistulae, yet only a small percentage are diagnosed preoperatively. This lack of preoperative recognition often leads to intraoperative discovery, leaving little opportunity for preoperative planning. Herein, we present the case of a 59-year-old male who presented with a cholecystocolonic fistula, manifested by lower gastrointestinal bleeding. Recognition of the fistula allowed for medical optimization and preoperative planning. There is currently a shortage of data on the ideal management of cholecystocolonic fistulae. We review the literature on cholecystocolonic fistulae and discuss the alternatives and controversies to the optimal management.