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Masquerade: an unusual presentation of gall bladder perforation as umbilical fistula

Naveen Sundaram Victor1, Negine Paul2, Aparna Jagannathan Munjurpattu1

  • 1Hepatobiliary Surgery, Christian Medical College and Hospital, Vellore, Tamil Nadu, India.

BMJ Case Reports
|July 21, 2021
PubMed

A 75-year-old woman presented with intermittent abdominal pain and distention for 2 months, followed by purulent discharge from the umbilicus for ten days. She was evaluated and diagnosed to have perforation of the gall bladder leading to formation of an anterior abdominal wall abscess which presented as an umbilical fistula. She underwent laparoscopic cholecystectomy along with lay open of abscess in the falciform ligament and curettage of the umbilical fistula tract. She had an uneventful postoperative recovery.

Keywords:
biliary interventiongastrointestinal surgerygeneral surgery

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