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Cholecystocolic Fistula Misdiagnosed as Colon Cancer: A Case Report

Hai-Bo Zhou

(Department of Gastroenterology, Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, Zhejiang, China (mainland))

Am J Case Rep 2018; 19:1370-1372

DOI: 10.12659/AJCR.911767


BACKGROUND: Due to the absence of specific symptoms and signs, cholecystocolic fistula is easy to miss as a diagnosis or misdiagnose.
CASE REPORT: We report a case of an older male patient who had cholecystocolic fistula which was misdiagnosed as colon cancer. The cholecystocolic fistula was incidentally discovered during surgery and was appropriately treated.
CONCLUSIONS: Cholecystocolic fistula is a rare complication of gallstone disease. Symptoms can be nonspecific. This case report demonstrates that despite modern diagnostic tools available, a high degree of suspicion is required to diagnose cholecystocolic fistula preoperatively. Open cholecystectomy and closure of fistula is the treatment of choice.

This paper has been published under Creative Common Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) allowing to download articles and share them with others as long as they credit the authors and the publisher, but without permission to change them in any way or use them commercially.
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