Cholecystocutaneous fistula after percutaneous gallbladder drainage.
Cases of cholecystocutaneous fistulas are now a rare occurrence as a result of rapid diagnosis and treatment. We present a case of cholecystocutaneous fistula developing after the removal of a percutaneous drain for the treatment of acute cholecystitis. Re-occurring infection and presence of gallstones led to fistulization of the gallbladder fundus and the development of a tract along the path created by the drain. The patient presented with re-occurring right upper quadrant abdominal pain, purulent discharge from the fistulous opening and expulsion of multiple gallstones. She underwent laparoscopic cholecystectomy and fistula excision.
Schulich School of Medicine and Dentistry, The University of Western Ontario, London, Ont., Canada.
Stahs
S
Pripotnev
Department of Surgery, Schulich School of Medicine and Dentistry, The University of Western Ontario, London, Ont., Canada ; Department of Surgery, Windsor Regional Hospital - Metropolitan Campus, Windsor, Ont., Canada.
Andrew
A
Petrakos
Cholecystitis; Cholecystocutaneous fistula; Gallstones; Laparoscopic cholecystectomy; Percutaneous drainage