Volume 4

Number 2 July 2020

Spontaneous Cholecystocutaneous Fistula: Still a Complication of Gallstones Disease

DOI: https://doi.org/10.70357/jdamc.2020.v0402.07

Rahman M M1 , Alam M M2 , Chowdhury AAMAM3 , Uddin J4 , Munim M I5 , Qaiyum M A6

Abstract

A cholecystocutaneous fistula is a rare complication of gallstone disease. The first report was written in the seventeenth centuryby Thileus. During the last 50 years, 25 cases have been reported. This presentation was a case of cholecystocutaneous fistulasuccessfully treated with excision and cholecystectomy. A 60-year-old lady presented with a persisting discharge from whatwas thought to be an 'abscess' in the right hypochondrium, which was spontaneously ruptured and afterwards it had beenexcised and drained. Investigation with ultrasound scanning and sinography, demonstrated a cholecystocutaneous fistula andcalculouscholecystitis. The fistulous track was excised together with the gallbladder.This condition was rarely seen nowadaysdue to the greater availability of antibiotic therapy and biliary surgery.Cholecystectomy was the preferred treatment for thiscase, the laparoscopic approach was an option reserved for the expert surgeon. Although in a few patients, the fistula may closespontaneously.

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  1. Associate Professor, Department of Surgery

    President Abdul Hamid Medical College, Kishoreganj

  2. Professor, Department of Surgery

    North East Medical College, Sylhet

  3. Assistant Professor, Department of Anesthesia

    President Abdul Hamid Medical College, Kishoreganj

  4. Associate Professor, Department of Surgery

    North East Medical College, Sylhet

  5. Associate Professor, Department of Surgery

    Sylhet Women's Medical College, Sylhet

  6. Senior Consultant, Department of Surgery

    Shahid Shamsuddin Ahmed Hospital, Sylhet

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Volume 4, Number 2 July 2020
Page: 30-33