Xanthogranulomatous cholecystitis complicated by a cholecysto-colonic fistula and liver abscesses. Issue 7 (31st July 2020)

• Record Type: Journal Article
• Authors: Morare, Nolitha; Mpuku, Lwazi; Ally, Zain
• Is Part Of: Journal of surgical case reports. Volume 2020:Issue 7(2020)
• Publication Date: 2020-07-31
• Subjects: Surgery -- Periodicals; Surgery -- Case studies -- Periodicals; 617.005
• DOI: 10.1093/jscr/rjaa176
• Languages: English
• ISSNs: 2042-8812

Abstract

Abstract: A 57-year-old male presented to the emergency department with right upper quadrant pain and constitutional symptoms. Initial investigation revealed biliary sepsis with features of chronic cholecystitis, multiple liver abscesses and a fistulous connection between the gallbladder and colon. He was subsequently diagnosed with a cholecysto-colonic fistula, an unusual complication of biliary pathology, with an incidence of 0.06–0.14% at cholecystectomy. It is the second most common form of cholecystoenteric fistula, the first of which is cholecystoduodenal. A preoperative diagnosis was suggested using computed tomography and sinogram imaging. The associated liver abscesses together with the xanthogranulomatous inflammation found on histopathology, makes the case particularly exceptional.