Biliary-colonic fistula

A case report and literature review

Gitonga Munene, Jay A. Graham, Richard W. Holt, Lynt B. Johnson, Harry P. Marshall

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

We report the occurrence of common bile duct obstruction and biliary-colonic fistula after open cholecystectomy. Although it is a very unusual complication after cholecystectomy, biliary-colonic fistula should be part of the differential diagnosis for patients presenting with sepsis after open or laparoscopic cholecystectomy. After confirmation and characterization of the injury by endoscopic retrograde cholangiopancreatography and cholangiogram, assessment for undrained collections by computed tomography scan, control of sepsis and coagulopathy, and nutritional support, surgical repair was undertaken. The patient underwent fistula take-down between the common bile duct and the colon at the hepatic flexure, primary closure of the colon enterotomy, and a Roux-en-Y end-to-side hepaticojejunostomy at the confluence of the right and left hepatic ducts. Recovery was uneventful and the patient was doing well at the 6-month follow-up. Surgical repair should be undertaken by surgeons with extensive experience in hepatobiliary reconstruction.

Original languageEnglish (US)
Pages (from-to)347-350
Number of pages4
JournalAmerican Surgeon
Volume72
Issue number4
StatePublished - Apr 2006
Externally publishedYes

Fingerprint

Biliary Fistula
Common Bile Duct
Cholecystectomy
Sepsis
Colon
Common Hepatic Duct
Nutritional Support
Endoscopic Retrograde Cholangiopancreatography
Laparoscopic Cholecystectomy
Cholestasis
Fistula
Differential Diagnosis
Tomography
Liver
Wounds and Injuries

ASJC Scopus subject areas

  • Surgery

Cite this

Munene, G., Graham, J. A., Holt, R. W., Johnson, L. B., & Marshall, H. P. (2006). Biliary-colonic fistula: A case report and literature review. American Surgeon, 72(4), 347-350.

Biliary-colonic fistula : A case report and literature review. / Munene, Gitonga; Graham, Jay A.; Holt, Richard W.; Johnson, Lynt B.; Marshall, Harry P.

In: American Surgeon, Vol. 72, No. 4, 04.2006, p. 347-350.

Research output: Contribution to journalArticle

Munene, G, Graham, JA, Holt, RW, Johnson, LB & Marshall, HP 2006, 'Biliary-colonic fistula: A case report and literature review', American Surgeon, vol. 72, no. 4, pp. 347-350.
Munene G, Graham JA, Holt RW, Johnson LB, Marshall HP. Biliary-colonic fistula: A case report and literature review. American Surgeon. 2006 Apr;72(4):347-350.
Munene, Gitonga ; Graham, Jay A. ; Holt, Richard W. ; Johnson, Lynt B. ; Marshall, Harry P. / Biliary-colonic fistula : A case report and literature review. In: American Surgeon. 2006 ; Vol. 72, No. 4. pp. 347-350.
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