A purely endoscopic management approach for Type V Mirizzi syndrome

Abstract

A cholecystocolonic fistula (CCF) is a communication between the gallbladder (GB) and the colon. When it coexists with any type of Mirizzi syndrome (MS), this is referred to as Type V MS. 1 When it is symptomatic, surgical treatment with cholecystectomy, fistula takedown, and possible colonic resection is indicated. 2,3 The role of treatment in asymptomatic patients is unclear. Endoscopic management has not been described.