Spontaneous cholecystocutaneous fistula: a rare complication of gallbladder disease

Author:

Cruz Junior Ruy Jorge1,Nahas Jorge1,Figueiredo Luiz Francisco Poli de1

Affiliation:

1. Universidade de Santo Amaro, Brazil

Abstract

CONTEXT: Spontaneous cholecystocutaneous abscess or fistula is an extremely uncommon complication secondary to cholecystitis. Over the past 50 years fewer than 20 cases of spontaneous cholecystocutaneous fistulas have been described in the medical literature. We here report a case of subcutaneous gallstone as a rare clinical presentation of the already uncommon cholecystocutaneous fistula. CASE REPORT: An 81-year-old man presented with a large subcutaneous abscess in the right subcostal area with surrounding cellulitis and crepitus. An abdominal computed tomography scan showed two subcutaneous gallstones and communication between the abscess and the gallbladder. Cholecystectomy was performed and the abdominal wall abscess was drained externally. This case report demonstrates that maintaining a high degree of suspicion of this rare entity is helpful in achieving correct preoperative diagnosis, and that computed tomography scan should be performed in all cases of unexplained abdominal wall suppuration or cellulitis.

Publisher

FapUNIFESP (SciELO)

Subject

General Medicine

Reference5 articles.

1. Spontaneous cholecystocutaneous fistula presenting in the gluteal region;Nicholson T;J Clin Gastroenterol.,1999

2. Spontaneous cholecystocutaneous fistula;Vasanth A;South Med J.,2004

3. Surgical disease of the biliary tract and pancreas;Kaminski DL,1994

4. Empyema necessitatis of the gall-bladder;Nayman J;Med J Aust.,1963

5. Laparoscopic management of a cholecystocutaneous abscess;Kumar SS;Am Surg.,1998

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3