Laparoscopic management of an unexpected cholecystogastric fistula during elective cholecystectomy: a case report.

Cholecystogastric fistula (CGF) is a rare complication of chronic cholelithiasis characterized by an abnormal communication between the gallbladder and the stomach. We report the case of a 69-year-old female who underwent elective laparoscopic cholecystectomy for symptomatic gallstone disease. Intraoperatively, a CGF was unexpectedly identified due to dense adhesions between the gallbladder and the gastric antrum. The fistula was successfully managed laparoscopically using a linear endostapler for resection and primary closure of the gastric defect, followed by standard cholecystectomy. The patient had an uneventful recovery and was discharged within 24 hours. This case highlights the feasibility and safety of laparoscopic management of CGF in experienced hands while emphasizing the importance of intraoperative adaptability.