Home Bratislava Medical Journal 2012 Bratislava Medical Journal Vol.113, No.7, p.445–447, 2012

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Published Monthly, in English
Founded: 1919
ISSN 0006-9248
(E)ISSN 1336-0345

Impact factor 1.2

 

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Bratislava Medical Journal Vol.113, No.7, p.445–447, 2012

Title: Spontaneous cholecystocutaneous fistula as a rare complication of gallstones
Author: Y. Ozdemir, E. Yucel, I. Sucullu, I. Filiz, B. Gulec, M. L. Akin, M. Yildiz

Abstract: Spontaneous perforation of gallbladder as a complication of biliary stones may lead to a cholecystocutaneous abscess or fistula. The pathophysiology of this condition has been associated with increased pressure in the gallbladder, secondary to biliary obstruction. Ultrasonography and Computed Tomography (CT) can be used for diagnosis of cholecystocutaneous abscess or fistula. The treatment of fistula requires adequate drainage, antibiotics, followed by elective cholecystectomy with excision of the fistula. We report a case of spontaneous cholecystocutaneous fistula in an 89-year-old female patient who presented with obstructive jaundice and subcutaneous abscess in the right subcostal area.  Abdominal CT scan showed gallstones and communication between the abscess and the gallbladder. First abdominal wall abscess was drained externally then cholecystectomy and exploration of common bile duct was performed (Fig. 3, Ref. 8).

Keywords: cholecystocutaneous fistula, gallstone, spontaneous, tomography,cholecystectomy
Year: 2012, Volume: 113, Issue: 7 Page From: 445, Page To: 447
doi:10.4149/BLL_2012_099


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