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August 1967

Cholecystocolonic Fistula

Arch Surg. 1967;95(2):228-229. doi:10.1001/archsurg.1967.01330140066015

THE EARLIEST description of cholecystocolonic fistula was probably by Paw and Broeck in 1514, and the case of Judd and Burden in 1925 was most likely where the diagnosis was first made preoperatively.1

This case report of a cholecystocolonic fistula is presented because of its unusual history, and because of the radiography which interestingly allowed us to make the diagnosis of choledocholithiasis by barium enema.

Report of Case  A 58-year-old, white woman, employed as a ship's cook, had had intermittent indigestion and constipation for many years after eating. Two years before admission she suffered an attack of severe pain in the right upper quadrant of the abdomen after eating, followed by vomiting of a green material. Her physician gave her an injection and told her to return later for further evaluation, which she failed to do. Six months previous to admission, while having an especially hard bowel movement,