Gastro-cholecysto-colic fistula. Case report of an idiopathic case, and management approach

Shane Irwin; Noel Edward Donlon; Helen Mohan; John V Reynolds

doi:10.1093/jscr/rjaa162

Gastro-cholecysto-colic fistula. Case report of an idiopathic case, and management approach

J Surg Case Rep. 2020 Aug 26;2020(8):rjaa162. doi: 10.1093/jscr/rjaa162. eCollection 2020 Aug.

Authors

Shane Irwin¹, Noel Edward Donlon¹, Helen Mohan¹, John V Reynolds^{1

2}

Affiliations

¹ Upper GI surgery department, St. James Hospital, Dublin, Ireland.
² Trinity College Dublin, Dublin, Ireland.

Abstract

A 71-year-old lady presented with a 4-week-history of epigastric pain, feculent vomiting, diarrhoea and weight-loss. On subsequent investigations, she was found to have a complex gastro-cholecysto-colic fistula with no clear underlying aetiology. The only abnormality both macroscopically and microscopically was ulceration and inflammation in the colon. However, this was not pathognomonic of inflammatory bowel disease, and (gastric) acid-induced inflammation is an alternative explanation. Herein we present her case, her comprehensive evaluation, her successful surgical management and a review of the relevant literature.

Keywords: case report; cholecystocolic fistula; complex fistula; gastrocholecystic fistula; gastrocolic fistula; surgical management.

Publication types

Case Reports