Abstract
Chronic diarrhea as a result of colonic fistulas -two case reports with different origin. When it comes to chronic diarrhea symptom, the first thing one thinks of is never a surgical cause, but an infectious disease. The aim of this paper is to show 2 different cases of chronic diarrhea, resulting from benign surgical causes - colonic fistula. The first case is a result of cholecystocolic fistula, while the second is the result of gastrojejunocolic fistula. Colonic fistulas originate from different causes: malignancy, NSAID, diverticulosis of the colon, cholecystitis, pancreatitis, lymphoma, or after radiation therapy. They can also result from a trauma, which can be post-surgical.
Highlights
Cholecystocolic fistula occurs as a result of the inflammation of the gallbladder
The aim of this paper is to show 2 different cases of chronic diarrhea, resulting from benign surgical causes - colonic fistula
When infection is excluded as the cause of chronic diarrhea, cholecystocolic fistula should be considered
Summary
Cholecystocolic fistula occurs as a result of the inflammation of the gallbladder. The incidence rate is not high, but the complication is not a rarity per se. It is less frequent complication than cholecystoduodenal fistula. The main symptoms are secretory diarrhea, vitamin K malabsorption and weight loss, and suspicion of malignancy is usual. The incidence rate of cholecystocolic fistula (CCF) is low and it accounts for 0.06-0.14% of all biliary diseases [1]. The key symptoms are chronic diarrhea and a progressive weight loss, which can be associated with malignancy [2]. The diagnosis was reached after irrigography: the contrast entered the gallbladder and biliary tract (Figure 1) [4]
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