{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,30]],"date-time":"2026-08-30T21:31:20Z","timestamp":1788125480392,"version":"build-2803163510"},"reference-count":12,"publisher":"BMJ","issue":"10","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2024,10,8]]},"published-print":{"date-parts":[[2024,10]]},"abstract":"<jats:p>Cholecystoenteric fistula is a rare complication of cholelithiasis, occurring in 3%\u20135% of patients with cholelithiasis. The symptoms are typically minimal and vague, with either acute or subacute presentations, rarely leading to bowel obstruction, and occasionally manifesting as chronic abdominal pain. In this case, a male patient in his early 30s presented with epigastric and right hypochondrial pain. On evaluation, he was diagnosed with gallstone disease and adenomyomatosis of the gallbladder. During laparoscopic cholecystectomy, a cholecystocolonic fistula was unexpectedly discovered. The fistula was managed laparoscopically using ENDOLOOP (prelooped chromic catgut ligature) ligation of the fistulous tract. The patient recovered without complications and was discharged on the third postoperative day. This case emphasises the importance of intraoperative vigilance and demonstrates a successful minimally invasive management approach.<\/jats:p>","DOI":"10.1136\/bcr-2024-262430","type":"journal-article","created":{"date-parts":[[2024,10,25]],"date-time":"2024-10-25T01:35:20Z","timestamp":1729820120000},"page":"e262430","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Cholecystocolonic fistula: an incidental intraoperative discovery managed laparoscopically"],"prefix":"10.1136","volume":"17","author":[{"given":"Imran","family":"Thariq Ajmal","sequence":"first","affiliation":[{"name":"Department of General Surgery, Chettinad Hospital and Research Institute, Kanchipuram, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Felix","family":"Anand","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Chettinad Hospital and Research Institute, Kanchipuram, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pavithra","family":"Selvam","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Chettinad Hospital and Research Institute, Kanchipuram, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4739-1056","authenticated-orcid":false,"given":"Venkiteswaran","family":"Muralidhar","sequence":"additional","affiliation":[{"name":"General Surgery, Chettinad Academy of Research and Education, Kanchipuram, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2024,10,24]]},"reference":[{"key":"2025082721592902000_17.10.e262430.1","doi-asserted-by":"publisher","DOI":"10.1007\/s00534-008-0014-1"},{"key":"2025082721592902000_17.10.e262430.2","unstructured":"Glenn F , Reed C , Grafe WR . Biliary enteric fistula. Surg Gynecol Obstet 1981;527\u201331. 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Gallstone ileus with cholecystocolonic fistula: A rare cause of large bowel obstruction. J Clin Diagn Res 2016;10.","DOI":"10.1136\/bcr-2016-217141"},{"key":"2025082721592902000_17.10.e262430.10","first-page":"154","article-title":"Gallbladder carcinoma presenting as cholecystocolonic fistula: A case report and review of the literature","volume":"23","author":"Dutta","year":"2004","journal-title":"Indian J Gastroenterol"},{"key":"2025082721592902000_17.10.e262430.11","first-page":"22","article-title":"Cholecystocolonic fistula with gallstone ileus: An unusual presentation","volume":"12","author":"Kapoor","year":"1993","journal-title":"Indian J Gastroenterol"},{"key":"2025082721592902000_17.10.e262430.12","first-page":"269","article-title":"Cholecystocolonic fistula presenting as a case of acute cholecystitis: A rare case report","volume":"42","author":"Sharma","year":"2019","journal-title":"Asian J Surg"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2024-262430","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T04:59:34Z","timestamp":1756357174000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2024-262430"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,10]]},"references-count":12,"journal-issue":{"issue":"10","published-online":{"date-parts":[[2024,10,24]]},"published-print":{"date-parts":[[2024,10]]}},"alternative-id":["10.1136\/bcr-2024-262430"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2024-262430","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,10]]}}}