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๐๐ฎ๐ฝ๐ฎ๐ฟ๐ผ๐๐ฐ๐ผ๐ฝ๐ถ๐ฐ ๐๐ฒ๐ป๐ฒ๐๐๐ฟ๐ฎ๐๐ฒ๐ฑ ๐ฆ๐๐ฏ๐๐ผ๐๐ฎ๐น ๐๐ต๐ผ๐น๐ฒ๐ฐ๐๐๐๐ฒ๐ฐ๐๐ผ๐บ๐ Patient Presentation: ๐ตHistory of severe cholecystitis ๐ตCT on index admission showed: โก๏ธCholecysto-colic fistula โก๏ธAir locules on GB โก๏ธFigure 1 below ๐ตFollow up CT (~4 months later): โก๏ธGood improvement with apparent resolution of fistula as absence of air in GB โก๏ธFigure 2 below ๐ตSymptomatic gallstones ๐ตListed... show more
17,805 views โข 1 year ago โขvia X (Twitter)
4 Comments

@ib9994 @Innov_Medicine @SAGES_Updates @MISIRG1 @BehindTheKnife @imedverse @rbarbosa91 @mj_pucci @altaf_awan12 @javlatif Nicely done๐ I do some Medicolegal work, almost all defense. Several claims after subtotal chole for leaving gb behind! Msg, classic calots dissection not always safe/best option. Consent your pt for alternatives AND document post op your discussion with the pt

@Innov_Medicine @SAGES_Updates @MISIRG1 @BehindTheKnife @imedverse @rbarbosa91 @mj_pucci @altaf_awan12 @ib9994 @javlatif Colon cancer must be ruled out! The main cause of cholecystocolonic fistula is colon cancer.

@Innov_Medicine @SAGES_Updates @MISIRG1 @BehindTheKnife @imedverse @rbarbosa91 @mj_pucci @altaf_awan12 @ib9994 @javlatif Is this fenestrated if you closed the CD ostium? (This is my preferred approach!)

@Innov_Medicine @SAGES_Updates @MISIRG1 @imedverse @rbarbosa91 @mj_pucci @altaf_awan12 @ib9994 @javlatif Nice work!
