A Rare Case of Cholecystoduodenal and Cholecystocolonic Fistulae in a Young Girl: A Case Report

Bilioenteric fistulae are late complications of gall bladder disease. Cholecystoduodenal fistulae are most common, followed by cholecystocolonic fistulae. Cholecystogastric fistulae are the least common of all. The majority of the fistulae result from repeated attacks of acute cholecystitis due to gallstones. In 2% of cases, these fistulae are associated with gall bladder cancer. Co-occurrence of cholecystoduodenal and cholecystocolic fistula (CCF) is rare. Numerous composite fistulae are even rarer. These conditions have variable clinical presentations. It is hard to diagnose these fistulae preoperatively, despite the latest imaging techniques, and they are found intraoperatively. Hence, this condition is a unique surgical entity, being atypical, rare and complex. We present a rare case of combined cholecystoduodenal and cholecystocolonic fistulae encountered by us in a fourteen-year-old girl, also a known patient of sickle cell anemia. Few such cases have been previously reported.