Adhesions formed between the gallbladder and abdominal wall secondary to gallstones and cholecystitis may result in perforation through the abdominal wall. Three cases of such cholecystocutaneous fistulae are presented and the clinical, radiographic and sonographic findings of this unusual entity are reviewed.
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J Surg Case Rep
October 2024
Surgical Gastroenterology Department, Nepal Mediciti Hospital, Karyabinayak, Lalitpur 44600, Nepal.
Cholecystocutaneous fistula is an exceedingly rare type of external biliary fistula, where an abnormal connection forms between the gallbladder and the skin. Cholecystocutaneous fistula commonly develops in the setting of chronic calculus cholecystitis or following a previous surgical intervention involving the biliary tract. Patients with cholecystocutaneous fistula often present with systemic symptoms, such as fever, nausea, and vomiting, as well as localized symptoms in the right upper quadrant of the abdomen, where the external opening of the fistula is typically found.
View Article and Find Full Text PDFDiagnostics (Basel)
June 2024
Department of Health Sciences, Hospital Israelita Albert Einstein, Sao Paulo 05652-900, Brazil.
This image article presents an 88-year-old indigenous woman with a history of several episodes of abdominal pain, for which she went to numerous different hospitals in the countryside, was always treated with analgesics, and then discharged. After a long time, the patient eventually was evaluated with magnetic resonance imaging. The test revealed a displaced gallbladder with thickened walls, multiple stones, and a fistulous tract extending to the skin.
View Article and Find Full Text PDFIntern Med
June 2024
Department of Hematology and Oncology, Graduate School of Medicine, The University of Tokyo, Japan.
Acta Med Port
April 2024
Department of Radiology. Webimagem Telerradiologia. São Paulo. Brasil.
Cir Esp (Engl Ed)
May 2024
Servicio de Cirugía Torácica, Hospital Universitario Virgen de las Nieves, Granada, Spain.
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