[Acute abdominal pain with surprising etiology-rare complication of a common disease].

Inn Med (Heidelb)

Klinik für Innere Medizin II, Universitätsklinikum des Saarlandes, Kirrberger Str. 100, 66424, Homburg/Saar, Deutschland.

Published: October 2024

AI Article Synopsis

  • Chronic cholecystitis and cholangitis can lead to a rare complication known as a cholecystocolic fistula, which is hard to detect without advanced imaging techniques.
  • Patients often come to the emergency room with acute abdominal pain, which can be linked to these chronic conditions.
  • The case discussed illustrates that chronic cholecystitis may exhibit complications even in the absence of symptoms like bile duct obstruction (cholestasis) or infection.

Article Abstract

The development of a cholecystocolic fistula as a complication of chronic cholecystitis and/or cholangitis is very rare and is difficult to detect without modern imaging. Nevertheless, acute abdominal symptoms are a frequent cause of patient presentation to an emergency department. The present case demonstrates that chronic cholecystitis with corresponding complications can present even without cholestasis and infection.

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http://dx.doi.org/10.1007/s00108-024-01804-1DOI Listing

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