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Erschienen in: European Surgery 6/2017

08.09.2017 | review

Cholecystocolonic fistula and gallstone obstruction

Case report and literature review

verfasst von: Alberto Aiolfi, M.D., Chiara Ceriani, M.D., Marco Sozzi, M.D., Stefano Siboni, M.D., Prof. Luigi Bonavina, M.D.

Erschienen in: European Surgery | Ausgabe 6/2017

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Summary

Background

Mechanical obstruction secondary to colonic impact of a gallstone resulting from a direct cholecystocolonic fistula is a rare event. Although spontaneous resolution has been described, surgical or endoscopic procedures may be required to relieve the obstruction. The overall complication rate related to surgical treatment is relevant because of the acute presentation in elderly patients with multiple comorbidities and high operative risk.

Methods

An extensive literature search over the last two decades (1997–2017) was conducted. MEDLINE, Embase, and Cochrane databases were consulted. All the articles, case reports, and case series that described the management of colonic gallstone obstruction were included in this narrative review.

Results

In all, 41 cases of colonic gallstone ileus were included. The majority of the patients were successfully managed with an open (78%), endoscopic (14.6%), or laparoscopic approach (4.9%). Spontaneous resolution of the mechanical obstruction was described in one case (2.5%). The overall morbidity and mortality rates of the surgical-related procedures were 31% and 9.4%, respectively. In the endoscopic groups, there was no procedure-related morbidity and mortality.

Conclusion

An endoscopic approach may be a better therapeutic option in selected patients with colonic gallstone obstruction unfit for surgery.
Literatur
1.
Zurück zum Zitat Reisner RM, Cohen JR. Gallstone ileus: a review of 1001 reported cases. Am Surg. 1994;60(6):441–6.PubMed Reisner RM, Cohen JR. Gallstone ileus: a review of 1001 reported cases. Am Surg. 1994;60(6):441–6.PubMed
2.
Zurück zum Zitat Moberg AC, Montgomery A. Laparoscopically assisted or open enterolithotomy for gallstone ileus. Br J Surg. 2007;94(1):53–7.CrossRefPubMed Moberg AC, Montgomery A. Laparoscopically assisted or open enterolithotomy for gallstone ileus. Br J Surg. 2007;94(1):53–7.CrossRefPubMed
3.
Zurück zum Zitat Costi R, Randone B, Violi V, Scatton O, Sarli L, Soubrane O, et al. Cholecystocolonic fistula: facts and myths. A review of the 231 published cases. J Hepatobiliary Pancreat Surg. 2009;16:8–18.CrossRefPubMed Costi R, Randone B, Violi V, Scatton O, Sarli L, Soubrane O, et al. Cholecystocolonic fistula: facts and myths. A review of the 231 published cases. J Hepatobiliary Pancreat Surg. 2009;16:8–18.CrossRefPubMed
5.
Zurück zum Zitat Garcia-López S, Sebastián JJ, Uribarrena R, Solanilla P, Artigas JM. Successful endoscopic relief of large bowel obstruction in a case of a sigmoid colon gallstone ileus. J Clin Gastroenterol. 1997;24:291–2.CrossRefPubMed Garcia-López S, Sebastián JJ, Uribarrena R, Solanilla P, Artigas JM. Successful endoscopic relief of large bowel obstruction in a case of a sigmoid colon gallstone ileus. J Clin Gastroenterol. 1997;24:291–2.CrossRefPubMed
6.
Zurück zum Zitat O’Donoghue GT, Winter D, Deasy J. Cholecystocolic fistula and large-bowel obstruction due to gallstone ileus. Arch Surg. 2003;138:1391–2.CrossRef O’Donoghue GT, Winter D, Deasy J. Cholecystocolic fistula and large-bowel obstruction due to gallstone ileus. Arch Surg. 2003;138:1391–2.CrossRef
7.
Zurück zum Zitat Stewart DJ, Lobo DN, Scholefield JH. Colonic gallstone ileus. J Am Coll Surg. 2003;196:154.CrossRefPubMed Stewart DJ, Lobo DN, Scholefield JH. Colonic gallstone ileus. J Am Coll Surg. 2003;196:154.CrossRefPubMed
8.
Zurück zum Zitat Anagnostopoulos GK, Sakorafas G, Kolettis T, Kotsifopoulos N, Kassaras G. A case of gallstone ileus with an unusual impaction site and spontaneous evacuation. J Postgrad Med. 2004;50:55–6.PubMed Anagnostopoulos GK, Sakorafas G, Kolettis T, Kotsifopoulos N, Kassaras G. A case of gallstone ileus with an unusual impaction site and spontaneous evacuation. J Postgrad Med. 2004;50:55–6.PubMed
9.
Zurück zum Zitat Ishikura H, Sakata A, Kimura S, Okitsu H, Ishikawa M, Ichimori T, et al. Gallstone ileus of the colon. Surgery. 2005;138:540–2.CrossRefPubMed Ishikura H, Sakata A, Kimura S, Okitsu H, Ishikawa M, Ichimori T, et al. Gallstone ileus of the colon. Surgery. 2005;138:540–2.CrossRefPubMed
10.
Zurück zum Zitat Gelbman A. Clinical quiz. Gallstone ileus with cholecystocolonic fistula. Emerg Radiol. 2006;12:199–200.CrossRefPubMed Gelbman A. Clinical quiz. Gallstone ileus with cholecystocolonic fistula. Emerg Radiol. 2006;12:199–200.CrossRefPubMed
11.
Zurück zum Zitat Mohamed ZK, Balupuri S, Boobis LH. Colonic gallstones: a case report. HBPD INT. 2007;6:324–5.PubMed Mohamed ZK, Balupuri S, Boobis LH. Colonic gallstones: a case report. HBPD INT. 2007;6:324–5.PubMed
12.
Zurück zum Zitat Ostrinsky Y, Bukeirat FA, Gayam S, Eckman JM. Gallstone ileus of the sigmoid colon mimicking colorectal malignancy. Gastrointest Endosc. 2007;66:1028–9.CrossRefPubMed Ostrinsky Y, Bukeirat FA, Gayam S, Eckman JM. Gallstone ileus of the sigmoid colon mimicking colorectal malignancy. Gastrointest Endosc. 2007;66:1028–9.CrossRefPubMed
13.
Zurück zum Zitat Versaci A, Macr A, Pacil V, Sfuncia G, Angi LG, Famulari C. Gallstone ileus of the colon: a rare surgical emergency. ANZ J Surg. 2008;78:321–2.CrossRefPubMed Versaci A, Macr A, Pacil V, Sfuncia G, Angi LG, Famulari C. Gallstone ileus of the colon: a rare surgical emergency. ANZ J Surg. 2008;78:321–2.CrossRefPubMed
17.
Zurück zum Zitat Zielinski MD, Ferreira LE, Baron TH. Successful endoscopic treatment of colonic gallstone ileus using electrohydraulic lithotripsy. World J Gastroenterol. 2010;16:1533–6.CrossRefPubMedPubMedCentral Zielinski MD, Ferreira LE, Baron TH. Successful endoscopic treatment of colonic gallstone ileus using electrohydraulic lithotripsy. World J Gastroenterol. 2010;16:1533–6.CrossRefPubMedPubMedCentral
18.
Zurück zum Zitat Lujan HJ, Bisland WB. Two-stage minimally invasive surgical management of colonic gallstone ileus. Surg Laparosc Endosc Percutan Tech. 2010;20:269–72.CrossRefPubMed Lujan HJ, Bisland WB. Two-stage minimally invasive surgical management of colonic gallstone ileus. Surg Laparosc Endosc Percutan Tech. 2010;20:269–72.CrossRefPubMed
19.
Zurück zum Zitat Sun R, Theilmann L, Vöhringer U, Samie AA. Gallstone ileus in underlying stenosis of the sigmoid due to recurrent diverticulitis – a rare complication of cholelithiasis. Med Klin (munich). 2010;105:433–6.CrossRef Sun R, Theilmann L, Vöhringer U, Samie AA. Gallstone ileus in underlying stenosis of the sigmoid due to recurrent diverticulitis – a rare complication of cholelithiasis. Med Klin (munich). 2010;105:433–6.CrossRef
20.
Zurück zum Zitat Ganapathi S, Farooq AH, Ghosh S. Large bowel obstruction in an obese woman. Gastroenterology. 2011;141:1978–2279.CrossRefPubMed Ganapathi S, Farooq AH, Ghosh S. Large bowel obstruction in an obese woman. Gastroenterology. 2011;141:1978–2279.CrossRefPubMed
21.
Zurück zum Zitat D’Hondt M, D’Haeninck A, Penninckx F. Gallstone ileus causing perforation of the sigmoid colon. J Gastrointest Surg. 2011;15:701–2.CrossRefPubMed D’Hondt M, D’Haeninck A, Penninckx F. Gallstone ileus causing perforation of the sigmoid colon. J Gastrointest Surg. 2011;15:701–2.CrossRefPubMed
23.
Zurück zum Zitat Zingales F, Pizzolato E, Menegazzo M, Da Re C, Bardini R. Gallstone ileus of the sigmoid colon: a rare complication of cholelithiasis. Updates Surg. 2011;63:219–21.CrossRefPubMed Zingales F, Pizzolato E, Menegazzo M, Da Re C, Bardini R. Gallstone ileus of the sigmoid colon: a rare complication of cholelithiasis. Updates Surg. 2011;63:219–21.CrossRefPubMed
24.
Zurück zum Zitat Muratori R, Cennamo V, Menna M, Cecinato P, Eusebi LH, Mazzella G, et al. Colonic gallstone ileus treated with radiologically guided extracorporeal shock wave lithotripsy followed by endoscopic extraction. Endoscopy. 2012;44(Suppl 2 UCTN):E88–9.PubMed Muratori R, Cennamo V, Menna M, Cecinato P, Eusebi LH, Mazzella G, et al. Colonic gallstone ileus treated with radiologically guided extracorporeal shock wave lithotripsy followed by endoscopic extraction. Endoscopy. 2012;44(Suppl 2 UCTN):E88–9.PubMed
26.
Zurück zum Zitat Conzo G, Mauriello C, Gambardella C, Napolitano S, Cavallo F, Tartaglia E, et al. Gallstone ileus: One-stage surgery in an elderly patient: One-stage surgery in gallstone ileus. Int J Surg Case Rep. 2013;4:316–8.CrossRefPubMedPubMedCentral Conzo G, Mauriello C, Gambardella C, Napolitano S, Cavallo F, Tartaglia E, et al. Gallstone ileus: One-stage surgery in an elderly patient: One-stage surgery in gallstone ileus. Int J Surg Case Rep. 2013;4:316–8.CrossRefPubMedPubMedCentral
33.
Zurück zum Zitat Das N, Plummer NR, Raja H, Vashist A. What to do with a non-rolling stone? Surgical on-table dilemma in large bowel obstruction due to an impacted gallstone. J Surg Case Rep. 2014;2014(7):rju42.CrossRefPubMedPubMedCentral Das N, Plummer NR, Raja H, Vashist A. What to do with a non-rolling stone? Surgical on-table dilemma in large bowel obstruction due to an impacted gallstone. J Surg Case Rep. 2014;2014(7):rju42.CrossRefPubMedPubMedCentral
34.
Zurück zum Zitat Swarbrick K, Allin B, Yeung T, Sampson M. Enterolithotomy for the treatment of large bowel obstruction secondary to gallstones. BMJ Case Rep. 2014;2014:bcr2014208167.CrossRefPubMedPubMedCentral Swarbrick K, Allin B, Yeung T, Sampson M. Enterolithotomy for the treatment of large bowel obstruction secondary to gallstones. BMJ Case Rep. 2014;2014:bcr2014208167.CrossRefPubMedPubMedCentral
41.
Zurück zum Zitat Toh JW, Balasuriya H, Stewart P. An unusual cause of large-bowel obstruction: Cholecystocolonic fistula and gallstone Ileus. Clin Gastroenterol Hepatol. 2016;14(9):e107–e8.CrossRefPubMed Toh JW, Balasuriya H, Stewart P. An unusual cause of large-bowel obstruction: Cholecystocolonic fistula and gallstone Ileus. Clin Gastroenterol Hepatol. 2016;14(9):e107–e8.CrossRefPubMed
42.
Zurück zum Zitat Cheong J, Gilmore A, Keshava A. Gastrointestinal: Cholecystocolonic fistula: A rare cause of large bowel obstruction. J Gastroenterol Hepatol. 2016;31:909.CrossRefPubMed Cheong J, Gilmore A, Keshava A. Gastrointestinal: Cholecystocolonic fistula: A rare cause of large bowel obstruction. J Gastroenterol Hepatol. 2016;31:909.CrossRefPubMed
44.
Zurück zum Zitat O’Brien JW, Webb LA, Evans L, Speakman C, Shaikh I. Gallstone Ileus caused by Cholecystocolonic fistula and gallstone impaction in the sigmoid colon: review of the literature and novel surgical treatment with trephine loop colostomy. Case Rep Gastroenterol. 2017;11:95–102.CrossRefPubMedPubMedCentral O’Brien JW, Webb LA, Evans L, Speakman C, Shaikh I. Gallstone Ileus caused by Cholecystocolonic fistula and gallstone impaction in the sigmoid colon: review of the literature and novel surgical treatment with trephine loop colostomy. Case Rep Gastroenterol. 2017;11:95–102.CrossRefPubMedPubMedCentral
45.
Zurück zum Zitat Zens T, Liebl RS. Gallstone ileus 30 years status postcholecystectomy. WMJ. 2010;109:332–4.PubMed Zens T, Liebl RS. Gallstone ileus 30 years status postcholecystectomy. WMJ. 2010;109:332–4.PubMed
46.
Zurück zum Zitat Mir SA, Hussain Z, Davey CA, Miller GV, Chintapatla S. Management and outcome of recurrent gallstone ileus: A systematic review. World J Gastrointest Surg. 2015;7:152–9.CrossRefPubMedPubMedCentral Mir SA, Hussain Z, Davey CA, Miller GV, Chintapatla S. Management and outcome of recurrent gallstone ileus: A systematic review. World J Gastrointest Surg. 2015;7:152–9.CrossRefPubMedPubMedCentral
47.
Zurück zum Zitat Halabi WJ, Kang CY, Ketana N, Lafaro KJ, Nguyen VQ, Stamos MJ, et al. Surgery for gallstone ileus: a nationwide comparison of trends and outcomes. Ann Surg. 2014;259:329–35.CrossRefPubMed Halabi WJ, Kang CY, Ketana N, Lafaro KJ, Nguyen VQ, Stamos MJ, et al. Surgery for gallstone ileus: a nationwide comparison of trends and outcomes. Ann Surg. 2014;259:329–35.CrossRefPubMed
48.
Zurück zum Zitat Rigler LG, Borman CN, Noble JF. Gallstone obstruction: pathogenesis and roentgen manifestations. JAMA. 1941;117:1753–9.CrossRef Rigler LG, Borman CN, Noble JF. Gallstone obstruction: pathogenesis and roentgen manifestations. JAMA. 1941;117:1753–9.CrossRef
49.
Zurück zum Zitat Toll EC, Kelly MD. Successful management of cholecystocolic fistula by endoscopic retrograde cholangiopancreatography: a report of two cases. Hong Kong Med J. 2010;16:406–8.PubMed Toll EC, Kelly MD. Successful management of cholecystocolic fistula by endoscopic retrograde cholangiopancreatography: a report of two cases. Hong Kong Med J. 2010;16:406–8.PubMed
50.
Zurück zum Zitat Dumonceau JM, Delhaye M, Devière J, Baize M, Cremer M. Endoscopic treatment of gastric outlet obstruction caused by a gallstone (Bouveret’s syndrome) after extracorporeal shock-wave lithotripsy. Endoscopy. 1997;29:319–21.CrossRefPubMed Dumonceau JM, Delhaye M, Devière J, Baize M, Cremer M. Endoscopic treatment of gastric outlet obstruction caused by a gallstone (Bouveret’s syndrome) after extracorporeal shock-wave lithotripsy. Endoscopy. 1997;29:319–21.CrossRefPubMed
Metadaten
Titel
Cholecystocolonic fistula and gallstone obstruction
Case report and literature review
verfasst von
Alberto Aiolfi, M.D.
Chiara Ceriani, M.D.
Marco Sozzi, M.D.
Stefano Siboni, M.D.
Prof. Luigi Bonavina, M.D.
Publikationsdatum
08.09.2017
Verlag
Springer Vienna
Erschienen in
European Surgery / Ausgabe 6/2017
Print ISSN: 1682-8631
Elektronische ISSN: 1682-4016
DOI
https://doi.org/10.1007/s10353-017-0489-6

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