title: [Spontaneous cholecystocutaneous fistula: natural history of biliary cholecystitis].
abstract: 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.
authors.affiliation: Service de chirurgie digestive, endocrinienne et générale, CHU Dupuytren, 2, avenue Martin-Luther-King, 87042 Limoges, France. mathonnet@unilim.fr
authors.forename: M
authors.initials: M
authors.lastname: Mathonnet
authors.forename: F
authors.initials: F
authors.lastname: Maisonnette
authors.forename: A
authors.initials: A
authors.lastname: Gainant
authors.forename: P
authors.initials: P
authors.lastname: Cubertafond
mesh_terms: 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