HPB : the official journal of the International Hepato Pancreato Biliary Association · 2001
Spontaneous cholecystocutaneous fistula.
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Flora H S, Bhattacharya S
Аннотация
BACKGROUND: An external biliary fistula is a rare complication of gallstone disease. We present a case of cholecystocutaneous fistula successfully treated with excision and cholecystectomy.
CASE OUTLINE: A 67-year-old man presented with a persisting discharge from what was thought to be an'abscess' in the right hypochondrium, which had previously been incised and drained.
RESULTS: Investigation with computed tomography, ultrasound scanning and sinography demonstrated a cholecystocutaneous fistula and calculous cholecystitis. The fistulous track was excised together with the gallbladder.
DISCUSSION: This condition is rarely seen nowadays due to the greater availability of antibiotic therapy and biliary surgery. Cholecystectomy is the preferred treatment, although in a few patients, the fistula may close spontaneously.
CASE OUTLINE: A 67-year-old man presented with a persisting discharge from what was thought to be an'abscess' in the right hypochondrium, which had previously been incised and drained.
RESULTS: Investigation with computed tomography, ultrasound scanning and sinography demonstrated a cholecystocutaneous fistula and calculous cholecystitis. The fistulous track was excised together with the gallbladder.
DISCUSSION: This condition is rarely seen nowadays due to the greater availability of antibiotic therapy and biliary surgery. Cholecystectomy is the preferred treatment, although in a few patients, the fistula may close spontaneously.