Spontaneous Cholecystocutaneous Fistula—Not an Old Time Story

Kapoor, Yamini; Singh, Gurjit; Khokhar, Manila

doi:10.1007/s12262-012-0560-2

Cited by 16 publications

(13 citation statements)

References 4 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Generally, the patient presents after a long duration of symptoms suspicious for cholecystitis, with an abscess or fistula in the right upper quadrant, though less common areas such as the epigastrium, umbilicus, and right groin have been described [2,3]. The majority of patients are over the age of 60 and have multiple medical comorbidities which can lead to a delay in presentation and diagnosis [1,[4][5][6][7][8].…”

Section: Discussionmentioning

confidence: 99%

“…Following stabilization, an open cholecystectomy with or without excision of the fistula tract may be performed [8,9]. For stable patients who may present with relatively few symptoms other than an abscess or draining fistula tract, a single stage definitive operation with external drainage and open cholecystectomy has been considered the treatment of choice [1,7,10]. A laparoscopic approach to this single-stage operation has been reported with success by several authors, though generally this is reserved for patients who have a more subacute presentation [11][12][13].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

The Cholecystocutaneous Fistula: A Rare Manifestation of Neglected Cholecystitis

Sharma¹,

Katsnelson²,

Butz³

et al. 2020

SCR

View full text Add to dashboard Cite

Introduction: Cholecystocutaneous fistula is a rare complication of acute or chronic cholecystitis, most often seen in the elderly in whom diagnosis is delayed. Management can be difficult due to it's late presentation, patient comorbidities, and poor candidacy for a major surgical intervention. We report the management of a case of cholecystocutaneous fistula in a patient with chronic lymphocytic leukemia who presented in acute sepsis. Case Report: An 89-year-old female presented with several days of abdominal pain, fever, and a right upper quadrant abdominal wall abscess with surrounding cellulitis. A CT demonstrated fistulization of the gallbladder to the anterior abdominal wall. The patient was stabilized in our ICU and external drainage of the abscess and decompression of the gallbladder was performed for source control. Physicians should be aware of the cholecystocutaneous fistula as a late complication of undiagnosed cholecystitis in the elderly patient population as well as the surgical options available for treatment.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

The Cholecystocutaneous Fistula: A Rare Manifestation of Neglected Cholecystitis

Sharma¹,

Katsnelson²,

Butz³

et al. 2020

SCR

View full text Add to dashboard Cite

show abstract

“…Orestis Ionaditis et al (2012) reported a case of spontaneous cholecysto-cutaneous fistula draining via an old surgical drain site scar [5]. Another such case was reported by Yamini Kapoor et al [6] in one of the two cases in 2013.…”

Section: Discussionmentioning

confidence: 99%

Spontaneous Cholecysto-Cutaneous Fistula Draining Through an Old Abdominal Surgical Scar

2016

View full text Add to dashboard Cite

SummaryBackgroundThough cholelithiasis and cholecystitis are common clinical problems, spontaneous cholecysto-cutaneous fistula is a rare complication of cholelithiasis in present-day practice. Very few cases have been reported in literature after 1950s.Case ReportA 60-year-old male presented with pain and discharging sinus in the upper abdomen. Ultrasonography and computed tomography confirmed the presence of perforation of the gall bladder and cholecysto-cutaneous fistula. External opening of the fistula was overlying an old surgical scar. Less than five cases of spontaneous cholecysto-cutaneous fistula draining through an old surgical scar have been reported in literature. Initially, the patient was managed conservatively, followed by elective open cholecystectomy and excision of the fistula tract.ConclusionsThough very rare in the present era of advanced medical care, cholecysto-cutaneous fistula as a potential diagnosis should be kept in mind in patients presenting with acute upper abdomen pain and discharging sinus. High degree of suspicion is required for early diagnosis and treatment of this condition.

show abstract

“…Son más habituales en pacientes ancianos o diabéticos, donde los síntomas de la patología biliar pueden ser inespecíficos y pasar desapercibidos. También se ha descrito asociación de la FCC con la poliarteritis nodosa, vasculitis, tratamiento con corticoides e infección por Salmonella typhi, que puede dar lugar a una colecistitis crónica 4 .…”

Section: Discussionunclassified

Fístula Colecistocutánea Espontánea

C³

et al. 2015

Rev Chil Cir

View full text Add to dashboard Cite

Spontaneous cholecystocutaneous fistula background: Spontaneous cholecystocutaneous fistula is a rare complication of acute cholecystitis. The incidence has decreased due to prompt and early surgical management of patients with acute cholecystitis. case report: We report a 64 years old woman consulting for erythematous soft and non-tender mass in right flank. Ultrasound revealed the cholecystocutaneous fistula. The fistulous tract and the gallbladder were excised from average laparotomy.

show abstract

Spontaneous Cholecystocutaneous Fistula—Not an Old Time Story

Cited by 16 publications

References 4 publications

The Cholecystocutaneous Fistula: A Rare Manifestation of Neglected Cholecystitis

The Cholecystocutaneous Fistula: A Rare Manifestation of Neglected Cholecystitis

Spontaneous Cholecysto-Cutaneous Fistula Draining Through an Old Abdominal Surgical Scar

Fístula Colecistocutánea Espontánea

Contact Info

Product

Resources

About