A rare case of Cholecystoduodenal and Cholecystocolonic Fistulae in a Young Girl: A Case Report

Authors

  • Waheed Ahmed Hashmi
  • Anam Waheed Hashmi
  • Esra Abbas Mohamed Abbas
  • Anas Hashmi
  • Muhammad Ibrahim Malik
  • Seemin Kashif

Keywords:

Cholecystoduodenal fistula, Cholecystocolonic fistula, CCF, Fistula

Abstract

Bilioenteric fistulae are late complications of gall bladder disease. Cholecystoduodenal fistulae are most common, followed by cholecystocolonic fistulae. Cholecystogastric fistulae are the least common of all. The majority of the fistulae result from repeated attacks of acute cholecystitis due to gallstones. In 2% of cases, these fistulae are associated with gall bladder cancer. Co-occurrence of cholecystoduodenal and cholecystocolic fistula (CCF) is rare. Numerous composite fistulae are even rarer. These conditions have variable clinical presentations. It is hard to diagnose these fistulae preoperatively, despite the latest imaging techniques, and they are found intraoperatively. Hence, this condition is a unique surgical entity, being atypical, rare and complex. We present a rare case of combined cholecystoduodenal and cholecystocolonic fistulae encountered by us in a fourteen-year-old girl, also a known patient of sickle cell anemia. Few such cases have been previously reported.

References

1. Manti F, Conti G, Battaglia C, Oliveti C, Commisso A, Giurdanella M et al. Cholecystocolonic fistula in exacerbated chronic cholecystitis: A case report. Radio Case Rep. 2023; 19(2): 749-52. doi: 10.1016/j.radcr.2023.10.060.

2. Kumar PS, Harikrishnan S. Cholecystoduodenal fistula: A case series of an unusual complication of gallstone diseases. Cureus. 2022 Nov 18; 14(11): e31651

3. Rajkumar KS, Kuppusamy P. A rare encounter with cholecysto-colonic fistula: A comprehensive case study. J Surg Med. 2025 May 9; 9(5): 71-3.

4. Yokoigawa N, Kawaguchi Y. Preoperative diagnosis and treatment of cholecystoduodenal fistula. Case Rep. Gastroenterol. 2023 Aug 9; 17(1): 249-54. doi: 10.1159/000531486.

5. Khan O, Singh K, Kumar NS, Kumar N, Basu S. Duodenocolic and Cholecystocolonic fistula: a case report of an unusual presentation. Cureus. 2024 Mar 19; 16(3): e56445. . doi: 10.7759/cureus.56445.

6. Abbasi S, Khan DB, Khandwala K, Raza R, Memon WA. Cholecystocolonic fistula. Cureus. 2019 Jun 10; 11(6): e4874. doi: 10.7759/cureus.4874.

7. Hens B, Reynaert H. Cholecystocolonic Fistula: A Case of Chronic Diarrhoea and Hidden Stones. Cureus. 2024 Nov 6; 16(11): e73129. doi: 10.7759/cureus.73129.

8. Ojemolon PE, Kwei-Nsoro R, Haque M, Shah MP, Pinnam B, Almoghrabi A. Different approaches to the management of cholecystoenteric fistula. ACG Case Rep. J. 2023 Jan 1; 10(1): e00960.

9. Huang R, Tian JX, Deng X, Zhu ZL, Tian W, Yang CY et al. Accidental discovery of cholecystoduodenal fistula during laparoscopic cholecystectomy: a case report. Front. Surg. 2025 Aug 13; 12: 1617555.

10. Zhao Z, Fan Z, Zhang T. Cholecystoduodenal fistula presenting with refractory upper gastrointestinal bleeding: retrospective analysis: a case report. J. Med. Case Rep. 2025 Jul 8; 19(1): 325.

11. Walia DJ, Singla A, Singh S, Dua J. A rare case of cholecystoduodenal and cholecystocolic fistula with gallstone ileus. Int J Appl Basic Med Res. 2023; 13(2): 121-3. doi: 10.4103/ijabmr.ijabmr_598_22. Epub 2023 Jul 17.

12. Wang CY, Chiu SH, Chang WC, Ho MH, Chang PY. Cholecystoenteric fistula in a patient with advanced gallbladder cancer: A case report and review of literature. World J Clin Cases. 2023 Dec 26; 11(36): 8519-8526. doi: 10.12998/wjcc.v11.i36.8519.

13. Garmpis N, Damaskos C, Garmpi A, Sypsa G, Mantas D. The rare entity of cholocystocolonic fistula: a case report. Pan Afr Med J. 2021 Mar 15; 38(1): 262. doi: 10.11604/pamj.2021.38.262.27409.

14. Alfonso A, McFarland KN, Savsani K, Lee S, Imai D, Khan A et al. Robotic management of primary cholecystoduodenal fistula: A case report and brief literature review. Int J Med Robot. 2024 Apr; 20(2): e2629. doi: 10.1002/rcs.2629.

15. Bonventre G, Di Buono G, Buscemi S, Romano G, Agrusa A. Laparoscopic management of cholecystocolonic fistula: A case report and a brief literature review. Int. J. Surg. Case Rep. 2020 Jan 1; 68: 218-20.

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Published

30-06-2026

How to Cite

1.
Hashmi WA, Hashmi AW, Abbas EAM, Hashmi A, Malik MI, Kashif S. A rare case of Cholecystoduodenal and Cholecystocolonic Fistulae in a Young Girl: A Case Report. J Liaq Uni Med Health Sci [Internet]. 2026 Jun. 30 [cited 2026 Jul. 1];25(03):219-21. Available from: http://121.52.154.205/index.php/jlumhs/article/view/1847