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Case Report

EJMCR. 2021; 5(10): 287-291

Laparoscopic approach for coexisting cholecystogastric and cholecystocolonic fistula: a case report

Albert Troci, Angelo Gabriele Epifani, Alessandro Michele Bonomi, Michele Crespi, Piergiorgio Danelli.

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Background: Cholecystoenteric fistula (CEF) is a rare intraoperative finding during video laparoscopic cholecystectomy. The presence of a double cholecystogastric (CGF) and cholecystocolonic fistula (CCF) is even more rare, and its management is not fully codified.
Case Presentation: We present the case of a 26-year-old woman known for cholelithiasis and a previous episode of uncomplicated acute cholecystitis and subsequent indication to elective cholecystectomy. Routine pre-operative studies did not show signs of biliary abnormalities. Intraoperative findings consisted of a coexisting CGF and CCF, which were successfully treated laparoscopically.
Conclusion: Laparoscopic approach can be safe and feasible in selected cases of double complete CEFs.

Key words: Case report, cholecystoenteric fistula, cholecystocolonic, cholecystogastric, cholecystectomy, laparoscopy.

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