Day-Case Laparoscopic Management of a Spontaneous Cholecystocutaneous Fistula

Peter M. Thomson, MBChB, George Moussa, MBChB, Sophie Maxwell, MBChB, Chaminda Sellahewa, FRCS

Department of General Surgery, Russells Hall Hospital, Dudley, West Midlands, UK (all authors).

ABSTRACT

Background: Cholecystocutaneous fistula is a rare complication of chronic gallstone disease. We present a case of cholecystocutaneous fistula successfully managed with day-case laparoscopic cholecystectomy.

Case Outline: An 80-year-old man initially presented with acute biliary sepsis, was treated conservatively, and later developed a right upper quadrant swelling in keeping with an abscess. He re-presented with bilious drainage from the old wound site.

Results: A sinogram demonstrated a cholecystocutaneous fistula. Day-case laparoscopic cholecystectomy was performed, and the fibrous tract was divided.

Discussion: This rarely seen condition can be safely managed, in suitable patients, as a day-case procedure.

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