Different Approaches to the Management of Cholecystoenteric Fistula. Issue 1 (20th January 2023)

• Record Type: Journal Article
• Authors: Ojemolon, Pius Ehiremen; Kwei-Nsoro, Robert; Haque, Mahaim; Shah, Mihir Prakash; Pinnam, Bhanu; Almoghrabi, Anas
• Is Part Of: ACG Case Reports Journal. Volume 10:Issue 1(2023)
• Page Start: e00960
• Publication Date: 2023-01-20
• Subjects: abdominal pain -- Bouveret syndrome -- cholecystoenteric fistula -- endoscopic treatment -- gallstones -- gastric outlet obstruction
• DOI: 10.14309/crj.0000000000000960
• Languages: English
• ISSNs: 2326-3253

Abstract

ABSTRACT: A cholecystoenteric fistula is an anomalous communicating tract between the gallbladder and any segment of the gastrointestinal tract. It is a rare complication of gallstone disease and typically affects elderly patients with multiple medical comorbidities. These fistulae can present in a variety of ways, and the diagnosis is often made only after extensive workup. Despite notable advances in imaging techniques in the last half-century, a considerable number of cases are still discovered incidentally during open or laparoscopic surgery. We present a series of 3 cases, each with different etiologies and presentations, but all of whom were found to have a cholecystoenteric fistula. Each case was managed differently, highlighting the diversity of this intriguing condition.