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Abstract

Cholecystitis with Spontaneous Cholecysto-Cutaneous Fistula

Background An external biliary fistula is a rare complication of gallstone disease. We present a case of cholecystocutaneous fistula successfully treated with excision and cholecystectomy. Case outline An 87-year old woman presented to the emergency department with an abdominal inflammatory mass in the right flank increasing for 15 days. Results Physical examination revealed signs of decompensated heart failure associated with hypothermia. Abdominal ultrasound showed a fluid collection in the right abdominal wall evaluated to 15x13x6 cm containing air bubbles and a stone. Discussion This condition is never seen today because of the bigger availableness of computerized axial tomography confirmed associate symptom within the paries containing a three cm stone ad lib exhausted from the vesica. The symptom and therefore the stone were exhausted with a body covering incision concerning the symptom below anesthesia.


Author(s):

Merdrignac A, Cusumano C and Sulpice L



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