A Spontaneous Cholecystocutaneous Fistula Case and Its Management
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
Kaynakça
- 1. Ozdemir Y, Yucel E, Sucullu I, Filiz I, Gulec B, Akin ML, et al. Spontaneous cholecystocutaneous fistula as a rare complication of gallstones. Bratisl Lek Listy 2012; 113(7): 445–7.
- 2. Abbey R. Spontaneous Cholecystocutaneous Fistula. IJAIMS 2016; 1(4): 196-8.
- 3. Niemeier OW. Acute free perforation of the gallbladder. Ann Surg 1934; 99: 922–4.
- 4. Lyon C, Clarke DC. Diagnosis of acute abdominal pain in older patients. Am Fam Physician 2006; 74: 1537–44.
- 5. Surya M, Soni P, Nimkar K. Spontaneous cholecysto-cutaneous fistula draining through an old abdominal surgical scar. Pol J Radiol 2016; 81: 498.
- 6. Thomson PM, Moussa G, Maxwell S, Sellahewa C. Day-case laparoscopic management of a spontaneous cholecystocutaneous fistula. CRSLS 2016; e2014,00227.
- 7. Poudel R, Basnet RB, Sibakoti YC. Spontaneous Cholecystocutaneous Fistula: A Case Report. PMJN 2012; 12(01): 51-4.
Ayrıntılar
Birincil Dil
İngilizce
Konular
-
Bölüm
Olgu Sunumu
Yayımlanma Tarihi
1 Nisan 2019
Gönderilme Tarihi
5 Haziran 2018
Kabul Tarihi
-
Yayımlandığı Sayı
Yıl 2019 Cilt: 10 Sayı: 2