Case Report

Spontaneous Cholecystocutaneous Fistula

Authors: Adarsh Vasanth, MD, Aqeel Siddiqui, MD, Kevin O'Donnell, MD

Abstract

Spontaneous cholecystocutaneous fistula is rarely observed today because of the early diagnosis and management made possible by ultrasonography, broad-spectrum antibiotics, and effective surgical management of biliary tract disease. We present a case of spontaneous cholecystocutaneous fistula due to cholecystitis.

This content is limited to qualifying members.

Existing members, please login first

If you have an existing account please login now to access this article or view purchase options.

Purchase only this article ($25)

Create a free account, then purchase this article to download or access it online for 24 hours.

Purchase an SMJ online subscription ($75)

Create a free account, then purchase a subscription to get complete access to all articles for a full year.

Purchase a membership plan (fees vary)

Premium members can access all articles plus recieve many more benefits. View all membership plans and benefit packages.

References

1. Henry CL, Orr TG Jr. Spontaneous external biliary fistulas. Surgery 1949; 26: 641–646.
 
2. Rosario P, Gerst P, Prakash K, et al. Cholecystocutaneous fistula: An unusual presentation. Am J Gastroenterol 1990; 85: 214–215.
 
3. Andley M, Biswas RS, Ashok S, et al. Spontaneous cholecystocutaneous fistula secondary to calculous cholecystitis. Am J Gastroenterol 1996; 91: 1656–1657.
 
4. Hoffman L, Beaton H, Wantz G. Spontaneous cholecystocutaneous fistula: A complication of neglected biliary tract disease. J Am Geriatr Soc 1982; 30: 632–634.
 
5. Nicholson T, Born M, Garber E. Spontaneous cholecystocutaneous fistula presenting in the gluteal region. J Clin Gastroenterol 1999; 28: 276–277.
 
6. Abril A, Ulfohn A. Spontaneous cholecystocutaneous fistula. South Med J 1984; 77: 1192–1193.
 
7. Carragher AM, Jackson PR, Panesar KJ. Subcutaneous herniation of gallbladder with spontaneous cholecystocutaneous fistula. Clin Radiol 1990; 42: 283–284.
 
8. Nayman J. Empyema necessitatis of the gallbladder. Med J Aust 1963; 1: 429–430.
 
9. Ulreich S, Henken EM, Levinson ED. Imaging in the diagnosis of cholecystocutaneous fistulae. J Can Assoc Radiol 1983; 34: 39–41.
 
10. Gibson TC, Howat JM. Cholecystocutaneous fistula. Br J Clin Pract 1987; 41: 980–982.
 
11. Gifford J, Saltzstein SL, Bavone RM. Adenocarcinoma occurring in association with a chronic sinus tract and biliary fistula. Cancer 1981; 47: 2093–2097.