[Spontaneous cholecystocutaneous fistula: natural history of biliary cholecystitis].
Spontaneous cholecystocutaneous fistula is a rare complication of gallbladder empyema without treatment. The incidence has further decreased with the advent of resuscitation and surgical treatment. These fistulas are like a cholecystostomy. The diagnostic is confirmed with a fistulogram which allows visualization of the fistula tract. Traditional treatment has consisted of broad-spectrum antibiotics administration, cholecystectomy and fistula drainage. One-stage treatment is the preferred option. Laparoscopic approach appears feasible even the conversion rate is high.
Mathonnet
M
M
Service de chirurgie digestive, endocrinienne et générale, CHU Dupuytren, 2, avenue Martin-Luther-King, 87042 Limoges, France. mathonnet@unilim.fr
Maisonnette
F
F
Gainant
A
A
Cubertafond
P
P
D000208:Acute Disease; D000368:Aged; D001658:Biliary Fistula / Q000473:pathology* / Q000601:surgery; D017081:Cholecystectomy, Laparoscopic / Q000379:methods*; D017577:Cutaneous Fistula / Q000473:pathology* / Q000601:surgery; D005260:Female; D005704:Gallbladder / Q000473:pathology / Q000601:surgery*; D006801:Humans; D016896:Treatment Outcome