A Spontaneous Cholecystocutaneous Fistula Case and Its Management

Yıl 2019, Cilt: 10 Sayı: 2, 47 - 49, 01.04.2019

Muhammet Arslan Sinan Sozuta Enver Reyhan

https://doi.org/10.33706/jemcr.551136

Öz

Objective: Spontaneous
cholecystocutaneous fistula is a rare complication of chronic calculous
cholecystitis because currently gallstones are diagnosed and treated at an
early stage. This occurrence is possible even if it seems actually to be rare.

Case Report:  We report the case of a 62-year-old woman
admitted to the Emergency Department with right hypochondrium pain, weakness.
On physical examination, she had fever and discomfort of the upper right
abdominal quadrant. Ultrasonography and Computed tomography scans revealed
cholecystitis findings with the formation of an abscess. Percutan drainage of
the purulent collection was carried out under ultrasound guidance.  Cholecystectomy was performed after the
patient's comorbid diseases were under controlled.

Conclusion: Owing
to early diagnosis and treatment of gallbladder diseases, this condition is
rarely seen nowadays. We conclude that percutaneous drainage is a safe and less
stressful management technique, especially for elderly patients with
co-morbidities before Cholecystectomy.

Anahtar Kelimeler

cholecystocutaneous fistula, percutaneous drainage, ultrasonography

Kaynakça

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