Case Report
Year: 2019 | Month: August | Volume: 6 | Issue: 8 | Pages: 31-34
Spontaneous Cholecystocutaneous Fistula: A Consequence of Neglected Calculus Chronic Cholecystitis
Pal Naresh1, Griwan M S2, Kumar Virender3, Jangra Amit3, Kumar Ritesh4
1Associate Professor, Department of Surgery. PGIMS Rohtak, Haryana, India.
2Sr.Professor and Head, Department of Surgery. PGIMS Rohtak, Haryana, India.
3Junior Resident, Department of Surgery. PGIMS Rohtak, Haryana, India.
4Senior Resident, Department of Surgery. PGIMS Rohtak, Haryana, India.
Corresponding Author: Pal Naresh
ABSTRACT
Spontaneous cholecystocutaneous fistulae are extremely rare complications of neglected gall stone disease and it has become even rare during the last decades Over the past 50 years few cases of spontaneous cholecystocutaneous fistulae have been described in the literature. We have here reported the first case of its own kind where cholecystocutaneous fistula presented with multiple gallstones over anterior abdominal wall in right hypochondrium. After through investigations, open cholecystectomy was performed along with removal of fistula tract. This case report demonstrates neglected calculus chronic cholecystitis where patient is hardly aware of this deadly complications. So a high degree of suspicion of this rare entity must be kept in mind for achieving correct preoperative diagnosis. We suggest that proper pre-operative investigations must be performed in all cases of unexplained abdominal wall suppuration to avoid these kinds of complications.
Key words: Cholecystocutaneous fistula, Abscess, Gallstones, CECT, MRCP, open Cholecystectomy.
[PDF Full Text]