Chaminda Sellahewa – JSLS https://jsls.sls.org Journal of the Society of Laparoscopic & Robotic Surgeons Wed, 29 Jun 2016 15:46:57 +0000 en-US hourly 1 https://wordpress.org/?v=6.9.4 https://jsls.sls.org/wp-content/uploads/2026/01/cropped-cropped-SLS_logo_HR-2-32x32.png Chaminda Sellahewa – JSLS https://jsls.sls.org 32 32 Day-Case Laparoscopic Management of a Spontaneous Cholecystocutaneous Fistula https://jsls.sls.org/2014-00227/ https://jsls.sls.org/2014-00227/#respond Wed, 12 Nov 2014 18:46:49 +0000 https://crsls.sls.org/?p=739 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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