Abstract

VERA-PORTILLA, Angel F. et al. Emergency surgery for acute cholecystitis caused by cholecystocolonic fistula. An. Fac. med. [online]. 2021, vol.82, n.2, pp.150-154. ISSN 1025-5583.  http://dx.doi.org/10.15381/anales.v82i2.21036.

Cholecystocolonic fistula (CCF) is a rare complication of cholelithiasis. They are often asymptomatic, difficult to diagnose preoperatively, it despite radiological support, and they are discovered incidentally perioperatively. We present the case of a woman with acute cholecystitis, who was operated by laparoscopy, and a CCF was evidenced, it was resolved by conversion to open surgery. FCC can be complicated and simulate acute abdominal symptoms. It should be taken into account in older adults with a history of cholelithiasis and scleroatrophic vesicles with adhesions. Very few cases have been described in the literature, and none in our country. We present a case of FCC that was admitted as acute cholecystitis, and the diagnosis and treatment of it were during her surgery.

Keywords : Acute Cholecystitis; Cholelithiasis; Biliary Fistula; Surgery; Emergencies.

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