Duodenocolic and Cholecystocolonic Fistula: A Case Report of an Unusual Presentation.
| Autor: | Khan O; General Surgery, All India Institute of Medical Sciences, Rishikesh, Rishikesh, IND., Singh K; General Surgery, All India Institute of Medical Sciences, Rishikesh, Rishikesh, IND., Kumar NS; General Surgery, All India Institute of Medical Sciences, Rishikesh, Rishikesh, IND., Kumar N; General Surgery, All India Institute of Medical Sciences, Rishikesh, Rishikesh, IND., Basu S; General Surgery, All India Institute of Medical Sciences, Rishikesh, Rishikesh, IND. |
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| Jazyk: | angličtina |
| Zdroj: | Cureus [Cureus] 2024 Mar 19; Vol. 16 (3), pp. e56445. Date of Electronic Publication: 2024 Mar 19 (Print Publication: 2024). |
| DOI: | 10.7759/cureus.56445 |
| Abstrakt: | Laparoscopic cholecystectomy is the established standard of care for addressing symptomatic gallstones, typically representing a straightforward and uncomplicated surgical procedure. However, patients exhibiting variant anatomy or local inflammation can present challenges to the surgeon, potentially leading to complications. In this context, we present the case of a 55-year-old woman who underwent a laparoscopic cholecystectomy for symptomatic gallstone disease at a different medical facility. Postoperatively, she was diagnosed with a case of duodenocolic fistula and cholecystocolonic fistula. Conservative treatment ensued with intravenous antibiotic administration, as well as enteral and parenteral feeding. Diagnosing cholecystocolonic fistula before surgery proves challenging, even with modern diagnostic and imaging tools. Despite its significance, there is limited information in the literature regarding the management of this infrequent finding. The approach to diagnosis and management is elaborated upon in the case report. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2024, Khan et al.) |
| Databáze: | MEDLINE |
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