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Venocutaneous fistula.

J Conze1, G Böhm, P Niggemann

  • 1Department of Surgery, Rhenisch Westphalian Technical University, Pauwelsstrasse 30, 52074 Aachen, Germany. jconze@ukaachen.de

Surgical Endoscopy
|February 20, 2004
PubMed
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This case report details a rare venocutaneous fistula, a delayed complication following laparoscopic cholecystectomy. A gallstone was found within the fistula, highlighting a unique surgical outcome.

Area of Science:

  • Gastroenterology
  • Surgical Complications
  • Vascular Surgery

Background:

  • Laparoscopic cholecystectomy is a common procedure.
  • Delayed complications can occur, though rare.
  • Venocutaneous fistulas are an unusual post-surgical event.

Observation:

  • A patient developed recurrent abdominal wall abscesses after laparoscopic cholecystectomy.
  • 18 months post-operation, a fistula formed below the umbilicus.
  • Fistulography confirmed a connection to the omental venous system.

Findings:

  • The study describes the first reported case of a venocutaneous fistula.
  • A pigment gallstone was discovered at the fistula's base during resection.
  • This indicates a potential link between gallstones and fistula formation.

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Implications:

  • This case highlights a rare but serious late complication of laparoscopic cholecystectomy.
  • Understanding such complications is crucial for surgical patient management.
  • Further investigation may be needed to elucidate the exact mechanism of fistula formation.