Biliary-colonic fistulas. Analysis of 2 cases and literature review
Ramos-De la Medina, A.; Medina-Franco, H.
Revista de Gastroenterologia de Mexico 67(3): 207-209
2002
ISSN/ISBN: 0375-0906 PMID: 12653061 Document Number: 549906
Bilioenteric fistulas are entities whose etiology can be diverse. The aim of this paper was to present two cases of biliary-colonic fistulas with different presentations and to review existing literature regarding etiology, diagnosis, and management of these patients. Two cases of biliary-colonic fistulas were reviewed. Case 1. A 48-year-old woman presented with lower gastrointestinal bleeding secondary to cholecystocolonic fistula in context of cholelithiasis. Case 2. A 60-year-old woman with multiple hepatic abscess associated with biliary-colonic fistula secondary to adenocarcinoma of gallbladder. Biliary-colonic fistulas are recognized complications of cholelithiasis. Association with neoplasia is less frequent. Preoperative diagnosis is difficult and management must be surgical.