A rare complication of gallstones ended with spontaneous cholecystocutaneus fistula in an old man: A case report

Ayoub, Kusay; Alkarrash, Mohamad Shadi; Shashaa, Mohammad Nour; Zazo, Aya; Rhayim, Roaa; Mahli, Nihad

doi:10.1016/j.ijscr.2020.01.008

Cited by 3 publications

(2 citation statements)

References 8 publications

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“…Furthermore, CT fistulogram can also show the track of CCF which confirm the diagnosis [ 21 ]. CT couldn't identify the track of CCF in a few cases where it just showed abnormal findings which point toward the diagnosis [ [19] , [23] , [26] , [27] ].…”

Section: Methodsmentioning

confidence: 99%

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Cholecystocutaneous fistula incidence, Etiology, Clinical Manifestations, Diagnosis and treatment. A literature review

Alsaman

Mazketly

Ziadeh

et al. 2020

Annals of Medicine and Surgery

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Cholecystocutaneous Fistula (CCF) is a type of external biliary fistula, which connects the gallbladder with the skin. Thilesus first described this phenomenon in 1670. There is usually a history of calculi in the gallbladder or neglected gallbladder disease. The incidence of CCF is rare, most patients are elderly females with the mean age of 72.8 years old. They usually present with chronic calculus cholecystitis or a history of a previous surgical intervention. US, CT, MRI, MRCP and (CT or X-ray) fistulogram are used to confirm the diagnosis. CT was more significant than US in identifying the track of the fistula and the fluid that runs throw it. CCF patients presented with systemic symptoms (fever, nausea and vomiting) or local symptoms. RUQ region is the most common site of external opening. Open cholecystectomy with excision of the fistulous tract is considered an acceptable option for treatment and it is curative in most cases. However, laparoscopic approach can be another option with experience surgeons.

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Section: Methodsmentioning

confidence: 99%

“…Percutaneous abscess drainage is performed immediately with the guidance of CT, or US, then all patients should receive management by antibiotics to manage infections and cholecystitis [ [4] , [7] , [16] , [17] , [23] , [26] ].…”

Section: Methodsmentioning

confidence: 99%

Cholecystocutaneous fistula incidence, Etiology, Clinical Manifestations, Diagnosis and treatment. A literature review

Alsaman

Mazketly

Ziadeh

et al. 2020

Annals of Medicine and Surgery

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Gallbladder empyema: An atypical manifestation of acute cholecystitis

Trujillo-Guerrero,

Aguirre-Salamanca,

Ramírez-Giraldo

2023

International Journal of Surgery Case Reports

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Management of a complex cholecystocutaneous fistula with laparoscopic retrieval of gallstones embedded in the abdominal wall

Saunders,

Kapsampelis,

Chouari

et al. 2023

Journal of Surgical Case Reports

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Cholecystocutaneous fistula is a rare surgical entity caused by an abnormal connection between the gallbladder epithelium and the skin. These complex cases have historically required an open surgical approach and are difficult to manage. We present a rare case of a 65-year-old male patient, with chronic lithiasic cholecystitis and cholecystocutaneous fistula. The patient underwent a laparoscopic subtotal cholecystectomy, dissection of the fistula tract, and removal of the impacted stones from the abdominal wall. With appropriate expertize, a completely laparoscopic approach is acceptable and the technical challenges can be predicted and overcome through careful pre-operative planning.

show abstract

A rare complication of gallstones ended with spontaneous cholecystocutaneus fistula in an old man: A case report

Cited by 3 publications

References 8 publications

Cholecystocutaneous fistula incidence, Etiology, Clinical Manifestations, Diagnosis and treatment. A literature review

Cholecystocutaneous fistula incidence, Etiology, Clinical Manifestations, Diagnosis and treatment. A literature review

Gallbladder empyema: An atypical manifestation of acute cholecystitis

Management of a complex cholecystocutaneous fistula with laparoscopic retrieval of gallstones embedded in the abdominal wall

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