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Cholecystocutaneous fistula.
Sagrario María Santos Seoane1, Vanesa Díaz Fernández2, Víctor Arenas García3
1Medicina Interna, Hospital de Cabueñes, España.
Revista Espanola De Enfermedades Digestivas
|March 27, 2019
Summary
Spontaneous external biliary fistula, a rare gallbladder rupture, can occur without prior surgery. This case highlights a fistula in an elderly patient with comorbidities following a prior ERCP.
Area of Science:
- Gastroenterology
- Hepatobiliary Surgery
Background:
- Spontaneous external biliary fistula (cholecystocutaneous fistula) is a rare condition.
- It involves gallbladder rupture through the abdominal wall to the skin without preceding surgery or trauma.
- Risk factors may include immunosuppression and comorbidities.
Observation:
- An octogenarian woman with significant comorbidities and immunosuppression presented with a spontaneous external biliary fistula.
- She had undergone Endoscopic Retrograde Cholangiopancreatography (ERCP) three months prior, with no immediate complications noted.
Findings:
- The patient developed a cholecystocutaneous fistula.
- The fistula presented despite a history of a seemingly uncomplicated ERCP.
Implications:
- This case underscores the potential for delayed complications following ERCP.
- It highlights the importance of considering spontaneous biliary fistulas in immunocompromised elderly patients, even after seemingly safe procedures.
