Cholecystocolonic Fistula with Malabsorption
Authors: LOUIS J. ELSAS
Journal: Annals of Internal Medicine (1965)

Case Studies1 September 1965Cholecystocolonic Fistula with MalabsorptionLOUIS J. ELSAS, M.D., TUVIA GILAT, M.D.LOUIS J. ELSAS, M.D.Search for more papers by this author, TUVIA GILAT, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-63-3-481 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptCholecystocolonic fistula is the second most common fistula between the gallbladder and gastrointestinal tract and is found in 3 to 33% of reported series of internal biliary fistulae (1-10). Detailed descriptions of cholecystocolonic fistulae are quite rare, and we have been able to find only one case report in which the clinical picture and some of the laboratory data suggested malabsorption (11). We have been unable to find pertinent absorption studies in this condition before and after the oral administration of bile salts or surgical correction. When the common duct is completely obstructed, cholecystocolonic fistula results in a situation in...References1. COURVOISIER LG: Casuistisch-statistische Beitrage zur Pathologie und Chirurgie der Gallenwege. F. C. W. Vogel, Leipzig, 1890, p. 83; (a) p. 104; (b) p. 105; (c) p. 66. Google Scholar2. JUDDBURDEN SEVG: Internal biliary fistula. Ann. Surg. 81: 305, 1925. CrossrefMedlineGoogle Scholar3. BERNHARD F: Die spontanen inneren Gallenfisteln und ihre operative Behandlung. Duetsche Z. Chir. 242: 493, 736, 1934. CrossrefGoogle Scholar4. BORMANRIGLER CNLG: Spontaneous biliary fistula and gallstone obstruction with particular reference to roentgenologic diagnosis. Surgery 1: 349, 1937. Google Scholar5. WAKEFIELDVICKERSWALTERS EGPMW: Cholecystenteric fistulas. Surgery 5: 674, 1939. Google Scholar6. DEAN GO: Internal biliary fistula. Ibid., p. 857. Google Scholar7. LEVOWITZ BS: Spontaneous internal biliary fistulas. Ann. Surg. 154: 241, 1961. CrossrefMedlineGoogle Scholar8. CALONJEIZENSTARKNICE MAJLCM: Internal biliary fistula. JAMA 179: 112, 1962. CrossrefMedlineGoogle Scholar9. FROMINGERCANINO CJCW: Internal biliary tract fistulae. Amer. J. Roentgen. 90: 835, 1963. Google Scholar10. DOWSE JL: Spontaneous internal biliary fistulae. Gut 5: 429, 1964. CrossrefMedlineGoogle Scholar11. D'ALECYGROSS LAL: Cholecystocolonic fistula simulating malabsorption syndrome. Amer. J. Gastroent. 42: 301, 1964. MedlineGoogle Scholar12. MARSHAKHENKIN RHW: Cholecystocolic fistula. Radiology 53: 555, 1949. CrossrefMedlineGoogle Scholar13. SHEHADI WH: Clinical Radiology of the Biliary Tract. McGraw Hill, New York, 1963, p. 249. Google Scholar14. MEDELMAN JP: Cholecystocolic fistula: case report. Amer. J. Roent. 36: 52, 1936. Google Scholar15. CHAFFEE JS: Cholecystocolic fistula with large bowel hemorrhage: case report. Ann. Surg. 152: 901, 1960. CrossrefMedlineGoogle Scholar16. BYRNE JJ: Biliary fistulas. Amer. J. Surg. 86: 181, 1953. CrossrefMedlineGoogle Scholar17. FRIMANN-DAHL JC: Roentgen Examination in Acute Abdominal Diseases. Charles C Thomas, Springfield, Ill., 1951, p. 141. Google Scholar18. MURCHISON C: A Clinical Lecture on Diseases of the Liver, Jaundice and Abdominal Dropsy, 3rd ed. T. Lauder Brunton, London, 1874, p. 702. Google Scholar19. DONALDSON GA: Discussion to Case #46351. New Engl. J. Med. 263: 456, 1960. MedlineGoogle Scholar20. ORMANDYBARGEN LJ: Thrombo-ulcerative colitis associated with cologastric and coloduodenal fistulas. Proc. Mayo Clin. 14: 550, 1939. Google Scholar21. HUTCHINHARRISONHALASZ PTN: Cholecystocolic fistula. A complication of cholecystostomy. Ann. Surg. 157: 587, 1963. CrossrefMedlineGoogle Scholar22. VORHAUSROGERS MGAE: Cholecystocolic fistula with X-ray demonstration. Amer. J. Dig. Dis. 1: 133, 1934. CrossrefGoogle Scholar23. DAWSONISSELBACHER AMKJ: Studies on lipid metabolism in the small intestine with observations on the role of bile salts. J. Clin. Invest. 39: 730, 1960. CrossrefMedlineGoogle Scholar24. MORGANSIMMONDS RGWJ: The relative effects of diversion of bile to the ileum or to the urinary bladder on fat absorption and gastrointestinal motility in the rat. Quart. J. Exp. Physiol. 47: 352, 1962. CrossrefGoogle Scholar25. KNOEBELRYAN LKJM: Digestion and mucosal absorption of fat in normal and bile deficient dogs. Amer. J. Physiol. 204: 509, 1963. CrossrefMedlineGoogle Scholar26. FRAZERSCHULMANSTEWART ACJHHC: Emulsification of fat in the intestine of the rat and its relationship to absorption. J. Physiol. 103: 306, 1944. CrossrefMedlineGoogle Scholar27. HOFMANBORGSTORM AHB: Physico-chemical state of lipids in intestinal content during their digestion and absorption. Fed. Proc. 21: 43, 1962. MedlineGoogle Scholar28. OLSON JA: The effect of bile and bile salts on the uptake and cleavage of beta-carotene into retinol ester (vitamin A ester) by intestinal slices. J. Lipid Res. 5: 402, 1964. CrossrefMedlineGoogle Scholar29. CORNWELLKRUGERROBINSON DGFAHB: Studies on the absorption of beta-carotene and the distribution of total carotenoid in human serum lipoproteins after oral administration. J. Lipid Res. 3: 65, 1962. CrossrefGoogle Scholar30. NORDIN BE: Effect of malabsorption syndrome on calcium metabolism. Proc. Roy. Soc. Med. 54: 497, 1961. MedlineGoogle Scholar31. PARKINSONOLSON TMJA: Inhibitory effects of bile acids on the uptake, metabolism and transport of water-soluble substances in the small intestine of the rat. Life Sci. 6: 393, 1963. CrossrefGoogle Scholar32. ATKINSONNORDINSHERLOCK MBES: Malabsorption and bone disease in prolonged obstructive jaundice. Quart. J. Med. 25: 299, 1956. MedlineGoogle Scholar33. SUMMERSKILLMOERTEL WHCG: Malabsorption syndrome associated with anicteric liver disease. Gastroenterology 42: 380, 1962. CrossrefMedlineGoogle Scholar34. FINLAYHOGARTHWIGHTMAN JMJKJ: A clinical evaluation of the d-xylose tolerance test. Ann. Intern. Med. 61: 411, 1964. LinkGoogle Scholar35. HENEGHAN JB: Influence of microbial flora on xylose absorption in rats and mice. Amer. J. Physiol. 205: 417, 1963. CrossrefMedlineGoogle Scholar36. LACKWEINER LIM: Intestinal absorption of bile salts and some biologic implications. Fed. Proc. 22: 1334, 1963. MedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: From the Department of Internal Medicine, Yale University School of Medicine, New Haven, Conn., and the Medical Service of the Yale-New Haven Hospital, New Haven, Conn.This study was supported in part by grants AM-5156 and FR-3004, U. S. Public Health Service, Bethesda, Md.Requests for reprints should be addressed to Louis J. Elsas, M.D., Yale-New Haven Hospital, 789 Howard Avenue, New Haven, Conn. 06411. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byIncidental cholecystocolonic fistula in obstructive jaundiceGallstone ileus of the sigmoid colon caused by cholecystocolonic fistula: A case reportTransmural invasion of hepatic flexure of colon causing cholecystocolic fistula by aggressive gallbladder carcinomaA Case of Cholecysto-gastro-colonic Fistula with Upper Gastrointestinal BleedingCholecystocolonic fistula: facts and myths. A review of the 231 published casesMirizzi syndrome type IV associated with cholecystocolic fistula: a very rare condition- report of a caseGallstone ileusCholecystocolic fistula: an unusual presentation and diagnosis by endoscopic retrograde cholangiopancreatographyColonic gall-stone ileus.Diagnosis of Fat Maldigestion and MalabsorptionA Case of Iatrogenic Choledochocolic Fistula with MalabsorptionCholestyramine and polysorbate-80 in the treatment of cholerheic enteropathyHypocalcemia — An Unusual Metabolic Complication of Breast Cancer 1 September 1965Volume 63, Issue 3Page: 481-486KeywordsBileCalciumFistulasGastrointestinal tractHospital medicineMedical servicesOral administrationPatientsResearch laboratoriesSalts Issue Published: 1 September 1965 PDF downloadLoading ...