Cirugía de emergencia por colecistitis aguda debido a fístula colecistocolónica

espanolLa fistula colecistocolonica (FCC) es una complicacion poco comun de la colelitiasis. A menudo son asintomaticas, de dificil diagnostico preoperatorio a pesar del apoyo radiologico, y se descubren de manera incidental perioperatoriamente. Presentamos el caso de una mujer con un cuadro de colecistitis aguda, la cual fue intervenida por laparoscopia, y se evidencio una FCC, la cual fue resuelta mediante conversion a cirugia abierta. La FCC puede complicarse y simular cuadros abdominales agudos. Se debe tener en cuenta en adultos mayores, con historia de colelitiasis, y vesiculas escleroatroficas con adherencias. En la literatura se han descrito muy pocos casos, y ninguno en nuestro medio. Presentamos un caso de FCC que ingreso como una colecistitis aguda, y su diagnostico y tratamiento fueron durante su cirugia EnglishCholecystocolonic fistula (CCF) is a rare complication of cholelithiasis. They are often asymptomatic, difficult to diagnose preoperatively, it despite radiological support, and they are discovered incidentally perioperatively. We present the case of a woman with acute cholecystitis, who was operated by laparoscopy, and a CCF was evidenced, it was resolved by conversion to open surgery. FCC can be complicated and simulate acute abdominal symptoms. It should be taken into account in older adults with a history of cholelithiasis and scleroatrophic vesicles with adhesions. Very few cases have been described in the literature, and none in our country. We present a case of FCC that was admitted as acute cholecystitis, and the diagnosis and treatment of it were during her surgery.