Korean J Pancreas Biliary Tract.  2019 Apr;24(2):84-88. 10.15279/kpba.2019.24.2.84.

Asymptomatic Cholecystocolic Fistula Diagnosed Accurately before Surgery

  • 1Department of Gastroenterology, Daejeon Sun Hospital, Daejeon, Korea.
  • 2Department of Surgery, Daejeon Sun Hospital, Daejeon, Korea. sursehwang@gmail.com


Cholecystocolic fistula (CCF) is a rare and late complication of gallbladder disease. The cause of CCF is known to be peptic ulcer, gallbladder disease, malignant tumor, trauma, and postoperative complications. The proper treatment method is to perform cholecystectomy and to identify and alleviate the CCF. However, cholecystectomy is not always possible owing to technical difficulties and disease severity. CCF is difficult to diagnose preoperatively, and CCF operation without an accurate preoperative diagnosis can lead to a more complicated surgery and cause surgeons to face more difficult situations or to endanger patients' lives. We report a case of asymptomatic CCF successfully treated with laparoscopic surgery after accurate diagnosis before surgery.


Cholecystocolic fistula; Laparoscopic surgery; Gallbladder stone
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