Spontaneous Cholecystocutaneous Fistula: A rare clinical Entity

• Authors: Amit Gupta , Manoj Joshua , Navin Kumar , Udit Chauhan , Sweety Gupta

Abstracts

EN

Introduction: Spontaneous Cholecystocutaneous Fistula occurs as a result of complication from untreated gall bladder stone disease infrequently seen in surgical practice due to early diagnosis of gall stone disease with imaging and appropriate and prompt antibiotic and surgical treatment. Case report: We report our experience with a 40-year-old woman who presented with a yellowish discharge from the umbilicus. Abdominal examination revealed a sinus opening at the umbilicus with the yellowish discharge and a vague mass in the right hypochondrium. CT fistulogram showed tract extending form the umbilicus to the gall bladder. Open cholecystectomy with excision of the fistulous tract was carried out. Histopathological examination showed chronic inflammation of the gall bladder with the fistulous tract lined by inflammatory granulation tissue. Post-operative recovery was normal and uneventful. The patient was normal in follow-up. Cholecystocutaneous fistula is a rare clinical entity. The diagnosis is established with CT and MRCP. Surgery remains the mainstay of treatment.

Keywords

EN

cutaneous; fistula spontaneous; gall bladder stone

• Publisher: Index Copernicus International
• Journal: Polish Journal of Surgery
• Year: 2021
• Volume: 93
• Issue: 2
• Pages: 62-65

Dates

published

2019-12-09

Contributors

author

Amit Gupta

author

Manoj Joshua

author

Navin Kumar

author

Udit Chauhan

author

Sweety Gupta

Identifiers

DOI

10.5604/01.3001.0013.6277