Recurrent chest wall abscesses overlying a pneumonectomy scar: an unusual presentation of a cholecystocutaneous fistula.
We report a case of recurrent chest wall abscesses overlying a right thoracotomy scar four years after a pneumonectomy for a right middle lobe bronchus squamous cell carcinoma. Exploration of the abscess cavities revealed no intra-thoracic or intra-abdominal communication. The patient developed sinuses in his thoracotomy scar and two years later, two gallstones were expelled from these sinuses. A cholecystocutaneous fistula was confirmed on a fistulogram.
Department of Thoracic Surgery, Norfolk and Norwich University Hospital, NHS Trust, Norwich, NR4 7UY, UK. mohammadhawari@hotmail.com
Mohammad
M
Hawari
Simon
S
Wemyss-Holden
Gareth Wyn
GW
Parry
D015746:Abdominal Pain / Q000175:diagnosis / Q000209:etiology; D000038:Abscess / Q000175:diagnosis* / Q000628:therapy; D000369:Aged, 80 and over; D001658:Biliary Fistula / Q000175:diagnosis* / Q000601:surgery; D002294:Carcinoma, Squamous Cell / Q000473:pathology / Q000601:surgery; D002921:Cicatrix / Q000209:etiology / Q000473:pathology*; D017577:Cutaneous Fistula / Q000175:diagnosis* / Q000601:surgery; D003937:Diagnosis, Differential; D005500:Follow-Up Studies; D042882:Gallstones / Q000150:complications / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D008175:Lung Neoplasms / Q000473:pathology / Q000601:surgery; D008297:Male; D011013:Pneumonectomy / Q000009:adverse effects* / Q000379:methods; D012008:Recurrence; D018570:Risk Assessment; D013290:Streptococcal Infections / Q000175:diagnosis* / Q000628:therapy; D035441:Thoracic Wall; D016896:Treatment Outcome