A Case of Cholecystocolic Fistula Treated Safely by Laparoscopy

Abstract

An 86-year-old man was admitted complaining of epigastric pain. Computed tomography of the abdomen showed atrophic gallbladder, pneumobilia, and gas in the gallbladder. Because of the presence of bile with the stench of stool during endoscopic retrograde cholangiography, we suspected cholecystocolic fistula. After preoperative examination, we performed an operation by laparoscopy. Cholecystocolic fistula was identified in the transverse colon. After cholecystectomy, the transverse colon and gallbladder were exteriorized through an additional incision. Partial resection of the transverse colon with fistulas was performed. There were no postoperative complications.