Laparoscopic treatment of cholecystocolonic fistula: Report of a case preoperatively diagnosed by barium enema

The authors present a case of cholecystocolonic fistula with no specific sy mptoms, such as severe diarrhea or pneumobilia, preoperatively diagnosed an d treated by the laparoscopic approach. A preoperative barium enema demonst rated a cholecystocolonic fistula. The fistula was divided by the laparosco pic stapling technique. Important features in the management of this case a re (1) preoperative diagnosis of the fistula by barium enema carried out fo r screening colorectal cancer, (2) dissection of the gallbladder from its b ed before division of the fistula, and (3) use of the laparoscopic stapling technique to divide the fistula while preventing fecal soilage.