H S Flora1, S Bhattacharya. 1. Department of General Surgery, Barts and the London NHS Trust,The Royal London Hospital, London, UK.
Abstract
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.
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.
Authors: Martina Fabbi; Antonella Volta; Fausto Quintavalla; Elena Zubin; Sabrina Manfredi; Filippo M Martini; Luciana Mantovani; Mario Tribaudino; Giacomo Gnudi Journal: Can Vet J Date: 2014-12 Impact factor: 1.008