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An 86-year-old patient presented to the emergency department with progressive pain
in the right hypochondrium for 3 days. Tracking back his history, this is not the
first episode of this type and that he has known a lithiasic gallbladder for a long
time. The physical examination was notable for Murphy’s sign. A contrast enhanced
computed tomographic (CT) scan was performed subsequently (Figures 1 and 2).
Figure 1A contrast-enhanced CT shows cholecystocolonic fistula with a fistulous path between
the gallbladder and the right colon (arrow).
