Chologenic diarrhea as the leading symptom of misplacement of a biliary stent into the colon

Introduction: Biliocolonic fistulas are usually associated with severe clinical symptoms including recurrent cholangitis, malabsorption and steatorrhea. We report a case in which misplacement of a biliary stent was associated with a mild clinical course, chologenic diarrhea being the leading symptom. Case report: A 76-year old man was admitted to another hospital with an acute abdomen in October 2009. A perforating cholecystitis with gallstone ileus was diagnosed and cholecystectomy and a Billroth II resection of the stomach were performed. The postoperative course was complicated by sepsis and as a consequence…