Cholecystocolic fistula caused by gallbladder carcinoma: preoperatively misdiagnosed as hepatic colon carcinoma

World J Gastroenterol. 2015 Apr 21;21(15):4765-9. doi: 10.3748/wjg.v21.i15.4765.

Abstract

Cholecystocolic fistula secondary to gallbladder carcinoma is extremely rare and has been reported in very few studies. Most cholecystocolic fistulae are late complications of gallstone disease, but can also develop following carcinoma of the gallbladder when the necrotic tumor penetrates into the adjacent colon. Although no currently available imaging technique has shown great accuracy in recognizing cholecystocolic fistula, abdominopelvic computed tomography may show fistulous communication and anatomical details. Herein we report an unusual case of cholecystocolic fistula caused by gallbladder carcinoma, which was preoperatively misdiagnosed as hepatic flexure colon carcinoma.

Keywords: Abdominopelvic computed tomography; Cholecystocolic fistula; Gallbladder carcinoma; Hepatic colon carcinoma; Misdiagnosed.

Publication types

  • Case Reports

MeSH terms

  • Adenocarcinoma / complications
  • Adenocarcinoma / diagnosis*
  • Adenocarcinoma / surgery
  • Biliary Fistula / diagnosis*
  • Biliary Fistula / etiology
  • Biliary Fistula / surgery
  • Biopsy
  • Cholecystectomy
  • Colectomy
  • Colonic Diseases / diagnosis*
  • Colonic Diseases / etiology
  • Colonic Diseases / surgery
  • Colonic Neoplasms / diagnosis*
  • Colonoscopy
  • Diagnostic Errors*
  • Female
  • Gallbladder Neoplasms / complications
  • Gallbladder Neoplasms / diagnosis*
  • Gallbladder Neoplasms / surgery
  • Humans
  • Intestinal Fistula / diagnosis*
  • Intestinal Fistula / etiology
  • Intestinal Fistula / surgery
  • Lymph Node Excision
  • Middle Aged
  • Neoplasm Invasiveness
  • Predictive Value of Tests
  • Tomography, X-Ray Computed