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      About Digestion: 3.2 Impact Factor I 6.4 CiteScore I 0.914 Scimago Journal & Country Rank (SJR)

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      Cholecystoparietal Fistula Revealed by an Epigastric Abscess

      case-report

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          Abstract

          Cholecystocutaneous fistula, the ultimate complication of abscessed or overlooked acute cholecystitis, is due to perforation of the gallbladder in the abdominal wall. The authors report an unusual case of cholecystoparietal fistula revealed by an epigastric abscess. Fistulography and modern imaging tools make the diagnosis easier. Surgery is the best available treatment.

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          Most cited references13

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          Asymptomatic cholelithiasis: is cholecystectomy really needed? A critical reappraisal 15 years after the introduction of laparoscopic cholecystectomy.

          G H Sakorafas, George Peros, S D Milingos (2007)
          Asymptomatic cholelithiasis is increasingly diagnosed today, mainly as a result of the widespread use of abdominal ultrasonography for the evaluation of patients for unrelated or vague abdominal complaints. About 10-20% of people in most western countries have gallstones, and among them 50-70% are asymptomatic at the time of diagnosis. Asymptomatic gallstone disease has a benign natural course; the progression of asymptomatic to symptomatic disease is relatively low, ranging from 10-25%. The majority of patients rarely develop gallstone-related complications without first having at least one episode of biliary pain ("colic"). In the prelaparoscopy era, (open) cholecystectomy was generally performed for symptomatic disease. The minimally invasive laparoscopic cholecystectomy refueled the discussion about the optimal management of asymptomatic cholelithiasis. Despite some controversy, most authors agree that the vast majority of subjects should be managed by observation alone (expectant management). Selective cholecystectomy is indicated in defined subgroups of subjects, with an increased risk for the development of gallstone-related symptoms and complications. Concomitant cholecystectomy is a reasonable option for good-risk patients with asymptomatic cholelithiasis undergoing abdominal surgery for unrelated conditions. Routine cholecystectomy for all subjects with silent gallstones is a too aggressive management option, not indicated for most subjects with asymptomatic cholelithiasis. An in-depth knowledge of the natural history of gallstone disease is required to select the optimal management option for the individual subject with silent gallstones. Management options should be extensively discussed with the patient; he or she should be actively involved in the process of therapeutic decision making.
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            Spontaneous cholecystocutaneous fistula presenting with an abscess containing multiple gallstones: a case report.

            Süphan Ertürk, Fatih Aydogan, Ender Onur … (2005)
            Spontaneous cholecystocutaneous fistula is a rare complication of chronic calculous cholecystitis. This complication, a result of the natural history of gallbladder stones, was formerly common. Today it is rare, because of early diagnosis and treatment of biliary tract diseases. We report a case of spontaneous cholecystocutaneous fistula in a 70-year-old female patient who presented with an abscess formation in the right upper quadrant. After the incision of this infective focus, many gallstones were picked up. One-stage open cholecystectomy and excision of the fistula tract were carried out after control of the abdominal wall infection.
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              Spontaneous cholecystocutaneous fistula.

              Aqeel Siddiqui, Adarsh Vasanth, Kevin A. O'Donnell (2004)
              Spontaneous cholecystocutaneous fistula is rarely observed today because of the early diagnosis and management made possible by ultrasonography, broad-spectrum antibiotics, and effective surgical management of biliary tract disease. We present a case of spontaneous cholecystocutaneous fistula due to cholecystitis.
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                Author and article information

                Journal
                Journal ID (nlm-ta): Case Rep Gastroenterol
                Journal ID (iso-abbrev): Case Rep Gastroenterol
                Journal ID (publisher-id): CRG
                Title: Case Reports in Gastroenterology
                Publisher: S. Karger AG (Allschwilerstrasse 10, P.O. Box · Postfach · Case postale, CH–4009, Basel, Switzerland · Schweiz · Suisse, Phone: +41 61 306 11 11, Fax: +41 61 306 12 34, karger@karger.ch )
                ISSN (Electronic): 1662-0631
                Publication date Collection: Jan-Apr 2017
                Publication date (Electronic): 19 April 2017
                Publication date PMC-release: 19 April 2017
                Volume: 11
                Issue: 1
                Pages: 225-228
                Affiliations
                Department of Digestive Surgery, Cocody University Hospital, Abidjan, Ivory Coast
                Author notes
                *Assamoi Brou Fulgence Kassi, Department of Digestive Surgery, Cocody University Hospital, 06 BP 480, Abidjan 06 (Ivory Coast), E-Mail kassful3@ 123456gmail.com
                Article
                Publisher ID: crg-0011-0225
                DOI: 10.1159/000468513
                PMC ID: 5437430
                SO-VID: 4f490805-a0f7-4951-afbc-9de69bd670ef
                Copyright © Copyright © 2017 by S. Karger AG, Basel
                License:

                This article is licensed under the Creative Commons Attribution-NonCommercial-4.0 International License (CC BY-NC) (http://www.karger.com/Services/OpenAccessLicense). Usage and distribution for commercial purposes requires written permission.

                History
                Date received : 24 January 2017
                Date accepted : 27 February 2017
                Page count
                Figures: 2, References: 12, Pages: 4
                Categories
                Subject: Single Case

                ScienceOpen disciplines: Gastroenterology & Hepatology
                Keywords: cholecystocutaneous fistula,gallbladder abscess,acute cholecystitis,ultrasound-guided aspiration,cholecystectomy,biliary fistula,biliary injury
                Data availability:
                ScienceOpen disciplines: Gastroenterology & Hepatology
                Keywords: cholecystocutaneous fistula, gallbladder abscess, acute cholecystitis, ultrasound-guided aspiration, cholecystectomy, biliary fistula, biliary injury

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