Related Experiment Video
Updated: Aug 14, 2026
04:14
Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults
Published on: February 28, 2025
Spontaneous cholecystocutaneous fistula
Ashar Ahmad Khan1, M Zeeshan Azhar, Asad Ali Khan
1Department of General Surgery, Al-Noor Specialist Hospital, Macca, Kingdom of Saudi Arabia. asharahmad71@hotmail.com
Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
|November 23, 2005
Summary
A rare case of cholecystocutaneous fistula, a complication of gallstone disease, is presented in a 90-year-old female. This condition led to necrotizing fasciitis of the abdominal wall.
Area of Science:
- Gastroenterology
- General Surgery
- Infectious Disease
Background:
- Gallstone disease is a common condition that can lead to various complications.
- Cholecystocutaneous fistula is a rare complication where the gallbladder connects to the skin.
Observation:
- A 90-year-old female, bedridden for 3 years due to a stroke, presented with necrotizing fasciitis of the anterior abdominal wall.
- The patient had a history of chronic cholecystitis and underwent common bile duct stenting for obstructive jaundice 2 years prior.
Findings:
- The patient was diagnosed with cholecystocutaneous fistula as a complication of gallstone disease.
- Necrotizing fasciitis of the anterior abdominal wall was a presenting feature.
Implications:
- This case highlights the importance of considering rare complications of gallstone disease, even in elderly and frail patients.
- Prompt diagnosis and management are crucial for improving outcomes in patients with cholecystocutaneous fistula and associated necrotizing fasciitis.
Related Concept Videos
01:20Cholecystitis
Cholecystitis is inflammation of the gallbladder, most commonly caused by obstruction of the cystic duct. This blockage prevents bile from draining, leading to gallbladder distension, inflammation, and potentially serious complications. This condition may present acutely or chronically and can happen with or without gallstones.EtiologyAbout 95% of cholecystitis cases are calculous, caused by gallstones blocking the cystic duct, leading to bile accumulation and inflammation of the gallbladder...
01:17Chronic Bowel Disorders: Introduction
Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...