Delayed Spontaneous Passage of Gallstones via Cholecystocutaneous Fistula

Gerrard, Adam Daniel; Date, Ravindra

doi:10.14309/crj.2017.102

Cited by 3 publications

(2 citation statements)

References 5 publications

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“…Numerous, smaller gallstones were also retrieved from within the fistula tract in this way, with immediate resolution of the patient’s symptoms. This phenomenon of extrusion of gallstones from a CCF has been previously documented [ 8 , 9 ].…”

Section: Discussionsupporting

confidence: 58%

“…Interestingly, there have been reports of percutaneous cholecystostomy creating the substratum upon which a CCF later forms through presumed maturation and epithelialization along the drain tract [ 2 , 8–10 ]. Our case is unique in that the patient’s CCF matured along the foundations of a Penrose drain that was left within the abscess cavity following surgical incision and drainage during her index presentation.…”

Section: Discussionmentioning

confidence: 99%

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Cholecystostoma: unusual evolution of a cholecystocutaneous fistula following percutaneous incision and drainage of perforated cholecystitis

Naim,

De Robles

2023

Journal of Surgical Case Reports

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Cholecystocutaneous fistulas (CCFs) are rare complications of gallbladder disease, wherein chronic inflammation leads the formation of an anomalous fistulous tract between the gallbladder and skin. Widespread availability of imaging modalities and timely access to surgical expertise has caused a marked decline in their incidence. Consequently, there is notable heterogeneity in management approaches to this disease entity, and guidance regarding the best, evidence-based treatment strategy is lacking. Most patients are definitively managed with cholecystectomy and en bloc excision of the adjoining fistula tract. However, there is no guidance on how to manage patients whose comorbidities preclude them from operative intervention. We provide the first report chronicling the stepwise development of a CCF in a 75-year-old woman, complete with pictorial documentation of its evolution. Furthermore, we present the inaugural account of a practical, safe approach to the long-term conservative management of CCFs in patients in whom surgical or endoscopic intervention is prohibitive.

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Section: Discussionsupporting

confidence: 58%

Section: Discussionmentioning

confidence: 99%

Cholecystostoma: unusual evolution of a cholecystocutaneous fistula following percutaneous incision and drainage of perforated cholecystitis

Naim,

De Robles

2023

Journal of Surgical Case Reports

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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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Spontaneous Cholecystocutaneous Fistula: A rare clinical Entity

et al. 2019

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Spontaneous Cholecystocutaneous Fistula occurs as a result of complication from untreated gall bladder stone disease infrequently seen in surgical practice due to early diagnosis of gall stone disease by imaging and appropriate and prompt antibiotic and surgical treatment . We report our experience with a 40 year old lady who presented with yellowish discharge through the umbilicus. Abdominal examination revealed a sinus opening at umbilicus with yellowish discharge and vague mass in the right hypochondrium . CT Fistulogram shows tract extending form umbilicus to gall bladder .Open cholecystectomy with excision of fistulous tract was done. Histopathological examination showed chronic inflammation of gall bladder with fistulous tract lined by inflammatory granulation tissue. Post operative recovery was normal and uneventful .Patient was normal in follow up period . Cholecystocutaneous fistula is a rare clinical entity. Diagnosis is established by CT scan and MRCP. Surgery remains the mainstay of treatment.

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Delayed Spontaneous Passage of Gallstones via Cholecystocutaneous Fistula

Cited by 3 publications

References 5 publications

Cholecystostoma: unusual evolution of a cholecystocutaneous fistula following percutaneous incision and drainage of perforated cholecystitis

Cholecystostoma: unusual evolution of a cholecystocutaneous fistula following percutaneous incision and drainage of perforated cholecystitis

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

Spontaneous Cholecystocutaneous Fistula: A rare clinical Entity

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