Ostiz M, Vila J J, García Sanchotena J L, Ostiz S, Alaez I
Servicio de Aparato Digestivo, Hospital Reina Sofía, 31500, Tudela, Spain.
An Sist Sanit Navar. 2012 Sep-Dec;35(3):511-5. doi: 10.23938/ASSN.0107.
Cholecystocolic fistula is an uncommon biliary-enteric fistula with a variable clinical presentation that usually appears as a rare complication of gallstone disease. It can present with abdominal pain, nausea, weight loss, diarrhoea with or without associated steatorrhea, and dyspeptic symptoms. Rare cases have been reported with lower gastrointestinal haemorrhage and even with a gallstone ileous. The most useful techniques for diagnosis are CT, barium studies, and ERCP. We report a case of a cholecistocolic fistula in an elderly woman with multiple medical comorbidities that presented as lower gastrointestinal bleeding. She was explored with colonoscopy, abdominal CT and barium enema. She required a total of 4 units of whole blood and because of her comorbidities a decision was made not to proceed with invasive treatment. She had a good evolution and was asymptomatic two months later.
胆囊结肠瘘是一种罕见的胆肠瘘，临床表现多样，通常是胆石症的一种罕见并发症。其症状包括腹痛、恶心、体重减轻、伴有或不伴有脂肪泻的腹泻以及消化不良症状。罕见病例报告有下消化道出血，甚至出现胆石性肠梗阻。诊断最有用的技术是CT、钡剂造影和内镜逆行胰胆管造影（ERCP）。我们报告一例老年女性胆囊结肠瘘病例，该患者有多种内科合并症，表现为下消化道出血。对其进行了结肠镜检查、腹部CT和钡剂灌肠检查。她总共需要4单位全血，由于其合并症，决定不进行侵入性治疗。她病情进展良好，两个月后无症状。
