The Mount Sinai Journal of Medicine

 

Volume 72 Number 6
November 2005
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Spontaneous Cholecystocutaneous Fistula Presenting with an Abscess Containing Multiple Gallstones: A Case Report

402-404
Serdar Yüceyar, M.D., Süphan Ertürk, M.D., Ilhan Karabiçak, M.D., Ender Onur, M.D., and Fatih Aydogan, M.D.

From Istanbul University, Cerrahpasa Medical Faculty, Department of General Surgery, Istanbul, Turkey.

Address all correspondence to Ilhan Karabiçak, M.D., 523 West 160th Street #3D, New York, NY 10032; ikarabicak@yahoo.com

Accepted for publication April 2005.

ABSTRACT

Spontaneous cholecystocutaneous fistula is a rare complication of chronic calculous cholecystitis. This complication, a result of the natural history of gallbladder stones, was formerly common. Today it is rare, because of early diagnosis and treatment of biliary tract diseases. We report a case of spontaneous cholecystocutaneous fistula in a 70-year-old female patient who presented with an abscess formation in the right upper quadrant. After the incision of this infective focus, many gallstones were picked up. One-stage open cholecystectomy and excision of the fistula tract were carried out after control of the abdominal wall infection.

KEY WORDS

Cholecystocutaneous fistula, cholelithiasis, biliary fistula.
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