ArticleCase reports in gastrointestinal medicine2026
Cholecystocolonic Fistula Associated With Advanced Mirizzi Syndrome Causing Chronic Diarrhea: Successful Treatment Using Cholangioscopy-Guided Lithotripsy and Surgery.
Article in Case reports in gastrointestinal medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
1 citing paper in PubMed.
- Cholecystocolonic Fistula Associated With Advanced Mirizzi Syndrome Causing Chronic Diarrhea: Successful Treatment Using Cholangioscopy-Guided Lithotripsy and Surgery.Case reports in gastrointestinal medicine · 2026Article
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6 authors.
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Abstract
Background: Cholecystocolonic fistula (CCF) is a rare complication of advanced Mirizzi syndrome (MS) and often presents with chronic watery diarrhea due to abnormal bile entry into the colon. The optimal role of endoscopic treatment in MS with CCF remains uncertain. Case Summary: A 63-year-old man presented with three months of chronic watery diarrhea. Computed tomography, magnetic resonance imaging, and endoscopic retrograde cholangiopancreatography showed an impacted cystic duct confluence stone, pneumobilia, and contrast passage into the colon, establishing the diagnosis of MS complicated by CCF. A biliary stent improved his symptoms, and peroral cholangioscopy-guided electrohydraulic lithotripsy subsequently enabled complete stone clearance. Cholangioscopy revealed no grossly apparent neoplastic lesions within the gallbladder. The patient subsequently underwent subtotal cholecystectomy with partial colectomy without biliary reconstruction. Histopathology revealed chronic cholecystitis without malignancy, and the postoperative course was uneventful. Conclusion: A stepwise approach combining cholangioscopy-guided lithotripsy with targeted surgery can reduce operative complexity and facilitate safe management of advanced MS with CCF.
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