Balent Eric, Plackett Timothy P, Lin-Hurtubise Kevin
Department of Surgery, Tripler Army Medical Center, Honolulu, HI, USA.
Hawaii J Med Public Health. 2012 Jun;71(6):155-7.
The cholecystocolonic fistula is an atypical variant of biliary disease. When presenting with symptomatic disease, surgical treatment with cholecystectomy, fistula takedown and possible colonic resection are indicated, however the role of surgery in asymptomatic patients, especially those deemed higher risk is less clear. Herein we present a case of an incidentially discovered asymptomatic cholecystocolonic fistula in a higher risk surgical patient managed nonoperatively. The presentation and treatment options for this disease are discussed in relation to their application to this patient.
胆囊结肠瘘是胆道疾病的一种非典型变异。当出现症状性疾病时，建议进行胆囊切除术、瘘管切除及可能的结肠切除术等手术治疗，然而手术在无症状患者，尤其是那些被认为风险较高的患者中的作用尚不清楚。在此，我们报告一例在手术风险较高的患者中偶然发现的无症状胆囊结肠瘘，该患者接受了非手术治疗，并结合该病例讨论了这种疾病的表现及治疗选择。
