Tubía Landaberea J I, Palomar L M, Cormenzana Lizarribar E, Beguiristain Gómez A, Rocandio Cilveti E, Alvarez Caperochipi J
Rev Esp Enferm Apar Dig. 1989 Feb;75(2):192-7.
From 1979 to 1987, 5 patients with cholecystocolonic fistula were operated on in our service, which represents 25% of a total of 20 external biliodigestive fistulas complied over this period. Admission was as an emergency in 4 of the 5 patients (80%), and in one for elective programmed surgery. External biliodigestive fistula was suspected in 3 patients (60%) and biliocolonic fistula in one (20%), on observing aerobilia and leakage of contrast into the hepatic angle of the colon. On two occasions (40%) associated choledocholithiasis was detected, by means of echographic study in one case and intraoperative cholangiography in the other. Antecedents of biliary pathology were present in 3 of our 5 observations (60%), with a mean time of evolution of 12 years.
1979年至1987年期间，我院共为5例胆囊结肠瘘患者实施了手术，占同期收治的20例外部胆肠瘘患者总数的25%。5例患者中有4例（80%）为急诊入院，1例为择期手术。3例患者（60%）怀疑存在外部胆肠瘘，1例（20%）怀疑存在胆结肠瘘，通过观察肝内胆管积气及造影剂漏入结肠肝曲得以诊断。通过超声检查发现1例、术中胆管造影发现1例，共2例（40%）患者伴有胆总管结石。5例患者中有3例（60%）有胆道疾病史，平均病程为12年。
