Omental and extraperitoneal abscesses complicating cholecystocolic fistula.
BACKGROUND
Acute cholecystitis resolves with conservative treatment in most patients, but empyema or perforation of an ischaemic area may develop, resulting in a pericholecystic abscess, bile peritonitis or a cholecysto-enteric fistula.


METHODS
A 63-year-old man presented with extraperitoneal and omental abscess formation complicating a cholecystocolic fistula secondary to gallbladder disease. Histological examination of the gallbladder and omentum showed xanthogranulomatous inflammation.


CONCLUSIONS
A detailed literature review failed to demonstrate a previous report of this combination of rare complications of gallbladder disease.
Hussien
M
M
Belfast City Hospital, Belfast, N Ireland, UK. magedhussien@hotmail.com
Gardiner
K
K