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Published on: April 1, 2022
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[Spontaneous cholecysto-cutaneous fistula: about two cases]
Lucas M Garcias1, Juan Martín Magris1, Luis Gramática1
1Servicio N°1 de Cirugía General J. M de Allende, Hospital Nacional de Clínicas, Universidad Nacional de Córdoba, Facultad de Ciencias Médicas, Córdoba, Argentina.
Medicina
|December 20, 2023
Summary
Cholecysto-cutaneous fistula (CCF) is a rare complication of untreated biliary pathology. Surgical intervention is the recommended treatment for this uncommon condition, as demonstrated in two patient cases.
Area of Science:
- Gastroenterology
- Surgical Pathology
Background:
- Cholecysto-cutaneous fistula (CCF) is an infrequent complication of untreated biliary tract disease.
- Fewer than 100 cases of CCF have been documented, often linked to bacterial infection, gallbladder adenocarcinoma, or trauma.
Observation:
- CCF presents with variable clinical manifestations, potentially including systemic illness.
- The most common external drainage site for CCF is the right hypochondrium.
- This study details two cases of patients presenting with CCF to an emergency department.
Findings:
- Both presented cases of cholecysto-cutaneous fistula were treated surgically.
- Surgical management was effective in addressing the cholecysto-cutaneous fistula in the reported cases.
Implications:
- The rarity and varied presentation of CCF necessitate tailored management strategies.
- Surgical treatment appears to be a viable approach for cholecysto-cutaneous fistula.
- Further research may help establish standardized treatment protocols for CCF.
