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[Not Available].
Jeremy Huddy1, Sharan S Wadhwani, Yuen Soon
1Minimal Access Therapy Training Unit, Department of Upper GI and Laparoscopic Surgery, Royal Surrey County Hospital, Guildford, Surrey GU2 7XX, United Kingdom.
Journal of Minimal Access Surgery
|June 24, 2009
Summary
Acute laparoscopic cholecystectomy is standard for gallstones. This case highlights a rare enterocutaneous fistula complication after surgery for severe cholecystitis, emphasizing careful postoperative management.
Area of Science:
- Gastroenterology and Hepatobiliary Surgery
- Surgical Case Reports
Background:
- Laparoscopic cholecystectomy is the standard treatment for gallstone disease.
- Debate exists regarding optimal timing (acute vs. interval) for cholecystectomy.
- Complications of laparoscopic cholecystectomy are well-documented.
Purpose of the Study:
- To report a rare case of cholecystitis treated with acute laparoscopic cholecystectomy.
- To describe a previously undocumented complication: an enterocutaneous fistula to the left chest wall.
- To discuss the management and successful outcome of a protracted disease course.
Main Methods:
- Case report of a 76-year-old male with cholecystitis.
- Acute laparoscopic cholecystectomy performed due to antibiotic-refractory symptoms.
- Investigation and management of postoperative complications, including bilateral subhepatic collections and fistula formation.
Main Results:
- The patient developed bilateral subhepatic collections post-cholecystectomy.
- An enterocutaneous fistula to the left chest wall, a novel finding, complicated the postoperative course.
- The patient experienced a protracted recovery but ultimately achieved a successful outcome.
Conclusions:
- Acute laparoscopic cholecystectomy can be effective for severe cholecystitis.
- Enterocutaneous fistula to the chest wall is a rare but possible complication.
- Multidisciplinary management is crucial for complex postoperative complications following cholecystectomy.
