Hemorrhagic Necrotizing Cholecystitis With Cholecystocolonic Fistula: A Case Report.

Autor:	AlQahtani A; Department of Surgery, College of Medicine, King Saud University, Riyadh, SAU., Alkhawaja R; Department of Surgery, College of Medicine, King Saud University, Riyadh, SAU., AlOtaibi WS; Department of Surgery, College of Medicine, King Saud University, Riyadh, SAU., Alanazi SN; Department of Surgery, College of Medicine, King Saud University, Riyadh, SAU., AlKhayyal Y; Department of Surgery, College of Medicine, King Saud University, Riyadh, SAU., Mrad B; Department of Surgery, College of Medicine, King Saud University, Riyadh, SAU., Abdulla MH; Colorectal Research Chair, Department of Surgery, College of Medicine, King Saud University, Riyadh, SAU., AlHassan N; Colorectal Research Chair, Department of Surgery, College of Medicine, King Saud University, Riyadh, SAU., Bin Traiki T; Colorectal Research Chair, Department of Surgery, College of Medicine, King Saud University, Riyadh, SAU.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2022 Dec 04; Vol. 14 (12), pp. e32187. Date of Electronic Publication: 2022 Dec 04 (Print Publication: 2022).
DOI:	10.7759/cureus.32187
Abstrakt:	Cholecystocolonic fistula (CCF) and hemorrhagic cholecystitis are rare complications of gallstones that have a wide range of non-specific symptoms and clinical severity. We present a case of a 74-year-old woman on warfarin who presented to the emergency department with a 10-day history of abdominal pain, vomiting, and watery diarrhea. Her abdomen was distended with generalized tenderness and palpable mass in the right lower quadrant. Laboratory tests revealed leukocytosis and an elevated international normalized ratio (INR). After admission and imaging, exploratory laparotomy showed hemorrhagic cholecystitis with CCF in the cecum. There was no pus or stool contamination. A cholecystectomy followed by right hemicolectomy with primary ileocolic anastomosis was performed. The postoperative course was uneventful, and the patient was discharged in stable condition. The presence of hemorrhagic cholecystitis in conjunction with CCF could lead to significant consequences such as hemorrhagic and septic shock in older patients with comorbidities. It is crucial to identify and intervene early before clinical deterioration. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2022, AlQahtani et al.)
Databáze:	MEDLINE
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