2014 Volume 56 Issue 10 Pages 3650-3655
Cholecystocolic fistula is a rare complication of acute cholecystitis, and generally requires surgery. A 74-year-old man was admitted because of acute calculous cholecystitis. After PTGBD (percutaneous transhepatic gallbladder drainage) was carried out, a cholecystocolic fistula was observed. Because the patient was in a bedridden state with dementia, surgical therapy for the cholecystitis and the fistula would be difficult. Therefore, we tried endoscopic closure of the fistula using an over-the-scope clip (OTSC). Finally, the cholecystitis improved and the fistula was successfully closed.