Biliary colonic ileus: an unusual cause of colonic obstruction
Bornet, G.; Chiavassa, H.; Galy-Fourcade, D.; Jarlaud, T.; Sans, N.; Labbé, F.; Gouzy, J.L.; Railhac, J.J.
Journal de Radiologie 79(12): 1499-1502
1998
ISSN/ISBN: 0221-0363 PMID: 9921453 Document Number: 491063
We report a rare case of colonic gallstone obstruction in a patient with cholecystocolic fistula. Diagnosis of this condition is usually difficult and only achieved at surgery. We review the radiological findings, particularly the CT findings, helpful for diagnosis: ectopic gallstone, biliary gas and fistula. Early preoperative diagnosis could reduce morbidity and mortality. Treatment is surgical with enterolithotomy. There is some controversy over the need to repair the fistula.