Related Experiment Videos
Spontaneous cholecystocutaneous fistula.
1Department of General Surgery, Barts and the London NHS Trust,The Royal London Hospital, London, UK.
Summary
A rare cholecystocutaneous fistula, a complication of gallstone disease, was successfully treated with surgical excision and cholecystectomy. This surgical approach remains the preferred management for such biliary fistulas.
Area of Science:
- Gastroenterology
- Surgical Case Reports
Background:
- External biliary fistulas are uncommon complications of gallstone disease.
- Cholecystocutaneous fistula is a rare presentation of biliary pathology.
Purpose of the Study:
- To report a case of cholecystocutaneous fistula.
- To highlight the successful surgical management of this rare condition.
Main Methods:
- A 67-year-old male presented with chronic discharge from the right hypochondrium.
- Diagnostic imaging included computed tomography, ultrasound, and sinography.
- Surgical intervention involved excision of the fistulous tract and cholecystectomy.
Main Results:
- Imaging confirmed a cholecystocutaneous fistula and calculous cholecystitis.
- The patient underwent successful surgical treatment.
- The fistulous track and gallbladder were excised.
Conclusions:
- Cholecystocutaneous fistula is a rare entity, infrequently encountered due to advances in antibiotic and surgical care.
- Cholecystectomy is the definitive treatment.
- Spontaneous closure of the fistula is possible in select cases.
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...