A 74-year-old man was hospitalized because of abdominal pain and bloody stool. Laboratory data showed moderate increase in liver enzymes and CRP. Tumor marker, espesciary CA 19-9 was slightly increased. An abdominal CT examination on first admission showed gallbladder wall was swollen and 40 mm-sized cholecystolithiasis in it. There was no ascites. The ERCP and MRCP did not detect the cholecystocolic fistula. Colonoscopic examination showed there was a 4 mm-sized fistula in the hepatic flexure of the colon. Infected bile colored white exited from it. Biopsy showed elevated periphery was no malignancy. Cholecystectomy and partial colectomy were done. Macroscopic findings showed the 4 mm-sized fistula was observed both at the bottom of gallbladder and transverse colon, and sound could pass through it. Histopathologically, R-A sinus was disseminated in gallbladder mucosa, The colonic fistula had granulation tissue. Both gallbladder and colon didn't have a malignant type. Postoperative complications were not occurred, on Postoperative day 12, he was discharged. We reported the cholecystocolic fistula detected by colonoscopy.
|Number of pages||5|
|Journal||Endoscopic Forum for Digestive Disease|
|Publication status||Published - Jun 2005|
- Cholecystocolic fistula
- Infectional bile
ASJC Scopus subject areas
- Radiology Nuclear Medicine and imaging