[Spontaneous cholecystocutaneous fistula: natural history of biliary cholecystitis]
M Mathonnet1, F Maisonnette, A Gainant
1Service de chirurgie digestive, endocrinienne et générale, CHU Dupuytren, 2, avenue Martin-Luther-King, 87042 Limoges, France. mathonnet@unilim.fr
Abstract:
Spontaneous cholecystocutaneous fistula is a rare complication of gallbladder empyema without treatment. The incidence has further decreased with the advent of resuscitation and surgical treatment. These fistulas are like a cholecystostomy. The diagnostic is confirmed with a fistulogram which allows visualization of the fistula tract. Traditional treatment has consisted of broad-spectrum antibiotics administration, cholecystectomy and fistula drainage. One-stage treatment is the preferred option. Laparoscopic approach appears feasible even the conversion rate is high.
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