A RARE CASE OF CHOLECYSTOCUTANEOUS FISTULA

Abstract

Spontaneous cholecystocutaneous fistula is an unusual complication of chronic calculous cholecystitis. The remarkable drop in incidence is probably associated with the introduction of antimicrobial therapy and early surgical management of biliary tract diseases. It occurs due to adhesions formed between the gallbladder and abdominal wall, secondary to cholecystitis,  which results in perforation through the abdominal wall. The diagnosis is confirmed with a fistulogram, USG or CT. Traditional treatment consisted of broad-spectrum antibiotics, cholecystectomy and fistula excision. Laparoscopic approach appears feasible even though the conversion rate is high. We report a case of spontaneous cholecystocutaneous fistula in a patient who presented with a chronic discharging sinus in the umbilical region. 

Keywords: Cholecystocutaneous fistula; Spontaneous; Gall bladder perforation; Chronic cholecystitis