Right hypochondrial abscess: A rare consequence of supportive cholecystitis.

INTRODUCTION

Spontaneous cholecystocutaneous abscess is an extremely uncommon complication of acute suppurative cholecystitis. Over the past century very few cases of spontaneous cholecystocutaneous fistulas have been described in the medical literature. We, here, report a case of abdominal wall abscess secondary to cholecystocutaneous fistula.

CASE REPORT: A 78 -year-old male presented as an emergency with a 2 days history of fever, malaise and a right subcostal mass. CT scan of abdomen showed huge abdominal wall abscess communicating intraabdominally to subhepatic area related to gallbladder.

CONCLUSION

A high index of suspicion is necessary to diagnose this entity preoperatively and to avoid associated morbidity.