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Cholecystocolocutaneous fistula: a case report
Badrl M Shrestha1, Andrew Wyman
1Northern General Hospital, Herries Road, Sheffield, S5 7AU, UK. shresthabm@doctors.net.uk
Hepatobiliary & Pancreatic Diseases International : HBPD INT
|August 17, 2006
Summary
Cholecystocolocutaneous fistula (CCCF) is a rare gallstone complication. Surgical intervention and stone retrieval successfully treated a patient with this rare condition.
Area of Science:
- Gastroenterology
- Surgical Complications
- Biliary System Diseases
Background:
- Cholecystocolocutaneous fistula (CCCF) is a rare complication of gallstone disease.
- It arises from gallbladder perforation and gallstone spillage, often presenting diagnostic challenges.
Observation:
- A patient presented with flank swelling and discharging sinuses.
- Imaging revealed a soft tissue mass and a fistula connecting to the gallbladder fossa and colon.
Findings:
- Surgical exploration identified a cutaneous fistula containing gallstones.
- Debridement, fistula closure, and tract excision resulted in complete resolution.
Implications:
- Fistulograms are crucial for diagnosing CCCF.
- Preventing gallstone spillage during gallbladder interventions is vital to avoid this complication.
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