[Spontaneous cholecysto-cutaneous fistula: about two cases].

Medicina (B Aires)

Servicio N°1 de Cirugía General J. M de Allende, Hospital Nacional de Clínicas, Universidad Nacional de Córdoba, Facultad de Ciencias Médicas, Córdoba, Argentina.

Published: December 2023

Cholecysto-cutaneous fistula (CCF) is a rare complication of untreated biliary pathology, with fewer than 100 cases documented in the literature. Most are secondary to bacterial infection, although it has also been described in gallbladder adenocarcinoma and post trauma. Its clinical presentation is variable, being able to present systemic affection, and its most frequent external drainage site is in the right hypochondrium. Due to the low incidence of this pathology, and the variety of forms of presentation, its management does not have, to date, standardized bases. We present two cases of patients who consulted in the emergency room at the Hospital Nacional de Clínicas for presenting cholecysto-cutaneous fistula. The treatment of both was surgical.

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