Cholecystocolic Fistula Misdiagnosed as Colon Cancer: A Case Report

Patient: Male, 74 Final Diagnosis: Cholecystocolic fistula Symptoms: Abdominal pain Medication: — Clinical Procedure: The patient were generally in good condition after operation and was discharged on the 15th postoperative day Specialty: Gastroenterology and Hepatology OBJECTIVE: Mistake in diagnosis BACKGROUND: Due to the absence of specific symptoms and signs, cholecystocolic fistula is easy to miss as a diagnosis or misdiagnose. CASE REPORT: We report a case of an older male patient who had cholecystocolic fistula which was misdiagnosed as colon cancer. The cholecystocolic fistula was incidentally discovered during surgery and was appropriately treated. CONCLUSIONS: Cholecystocolic fistula is a rare complication of gallstone disease. Symptoms can be nonspecific. This case report demonstrates that despite modern diagnostic tools available, a high degree of suspicion is required to diagnose cholecystocolic fistula preoperatively. Open cholecystectomy and closure of fistula is the treatment of choice.