Abstract

RODRIGUEZ TAPANES, Vivian et al. Fístula colecistocólica. Rev Cub Med Mil [online]. 2003, vol.32, n.2, pp. 0-0. ISSN 1561-3046.

This paper was aimed at presenting a patient with a rare complication of lithiasic cholecystopathy and the possibility of having a safe and successful treatment by minimum access surgery. The patient was a 72-year-old female patient seeking for medical assistance for having diarrheal disease for a long time, abdominal pain and loss of body weight. On the radiological study by barium enema, it was observed a cholecystocolic fistula at the level of the right colic flexure. Later on, an endoscopic fistulectomy was performed by mechanical suture of the colon (ENDOGIA) and surgery finished with a cholecystectomy. Postoperative stay was of 72 hours . There were no complications and she recovered satisfactorily after 8 months of follow-up. Only 4 reports of cholecystocolic fistula and 2 of them with diagnosis, treatment and evolution similar to this case, were found in the reviewed literature, which proves that it is a rare entity. The possibility of performing minimum acccess surgery was an interesting experience, since it is a safe and efficient approach for a definitive treatment. It was demonstrated the value of an adequate preoperative radiological diagnosis that makes easy the surgical strategy to be followed and its success.

Keywords : BILIARY FISTULA [surgery]; BILIARY FISTULA [complications]; CHOLECYSTECTOMY, LAPAROSCOPIC [methods].