LAPAROSCOPIC APPROACH TO CHOLECYSTOCOLIC FISTULA - REPORT OF A CASE

The development of a fistulous tract from the gallbladder is associate d with gallstones in 90% of cases. Cholecystocolic fistula (CCF) accou nts for 10 to 20% of all enteric biliary fistulas. The conventional tr eatment advocated is cholecystectomy and closure of the fistulous comm unication. In this report a case of a patient whose only complaint was severe diarrhea is described. CCF was demonstrated by barium enema. T he patient was treated by laparoscopic surgery. The case history and l aparoscopic approach to enteric biliary fistula are described.