Emergency surgery for acute cholecystitis caused by cholecystocolonic fistula

• Autores: Vera-Portilla, Angel F., Vera-Portilla, Walter, Galdós, Jose Luis, Bustinza Flores, Edwin, Cornejo Valencia, Darling, Terrazas Díaz, Sandra
• Formato: artículo
• Fecha de Publicación: 2021
• Institución: Universidad Nacional Mayor de San Marcos
• Repositorio: Revistas - Universidad Nacional Mayor de San Marcos
• Lenguaje: español
• OAI Identifier: oai:ojs.csi.unmsm:article/21036
• Enlace del recurso: https://revistasinvestigacion.unmsm.edu.pe/index.php/anales/article/view/21036
• Nivel de acceso: acceso abierto
• Materia: Colecistitis Aguda; Colelitiasis; Fístula Biliar; Cirugía; Emergencias; Acute Cholecystitis; Cholelithiasis; Biliary Fistula; Surgery; Emergencies

Cholecystocolonic fistula (CCF) is a rare complication of cholelithiasis. They are often asymptomatic, difficult to diagnose preoperatively, it despite radiological support, and they are discovered incidentally perioperatively. We present the case of a woman with acute cholecystitis, who was operated by laparoscopy, and a CCF was evidenced, it was resolved by conversion to open surgery. FCC can be complicated and simulate acute abdominal symptoms. It should be taken into account in older adults with a history of cholelithiasis and scleroatrophic vesicles with adhesions. Very few cases have been described in the literature, and none in our country. We present a case of FCC that was admitted as acute cholecystitis, and the diagnosis and treatment of it were during her surgery.