title: [Spontaneous cholecystocutaneous fistula].
abstract: BACKGROUND
  Spontaneous cholecystocutaneous fistula is defined as a gallbladder communication with the external environment through the abdominal wall rupture; the first reports were written in the seventeenth century by Thilesus. During the past 50 years 25 cases have been reported.
  
  
  METHODS
  We report a case of a 30-year-old woman presented with a five-year history of biliary colic, six months prior to medical assessment presents outlet of biliary material and gallstones spontaneously in the right upper quadrant. Fistulogram was performed without evidence of obstruction, subsequently cholecystectomy and resection of the fistula was performed.
  
  
  CONCLUSIONS
  The biliary fistulas are an abnormal communication from the gallbladder into another surface, is a rare condition in our day as it only occurs in 10% of patients with gallbladder lithiasis; while spontaneous cholecystocutaneous fistula clinic is more than evident. It is imperative perform studies like ultrasound, tomography, and fistulogram. The mainstay of treatment is cholecystectomy, resection of the fistula and repair of abdominal wall defect.
  
  
  CONCLUSIONS
  The incidence of cholecystocutaneous fistula today is minimal and it seems that the current trend is to become an entity anecdotal, the approach subcostal abdominal examination remains as the first choice. The laparoscopic approach is an option reserved for the experienced surgeon.
authors.affiliation: Servicio de Cirugía General, Departamento de Cirugía, Hospital Civil de Ciudad Madero, Ciudad Madero, Tamaulipas, México. Electronic address: fernandoguardadob@hotmail.com.
authors.forename: Fernando
authors.initials: F
authors.lastname: Guardado-Bermúdez
authors.affiliation: Servicio de Cirugía General, Departamento de Cirugía, Hospital Civil de Ciudad Madero, Ciudad Madero, Tamaulipas, México.
authors.forename: Araceli
authors.initials: A
authors.lastname: Aguilar-Jaimes
authors.affiliation: Servicio de Cirugía General, Departamento de Cirugía, Hospital Civil de Ciudad Madero, Ciudad Madero, Tamaulipas, México.
authors.forename: Fernando Josafat
authors.initials: FJ
authors.lastname: Ardisson-Zamora
authors.affiliation: Servicio de Cirugía General, Departamento de Cirugía, Hospital Civil de Ciudad Madero, Ciudad Madero, Tamaulipas, México.
authors.forename: Luis Alberto
authors.initials: LA
authors.lastname: Guerrero-Silva
authors.affiliation: Servicio de Medicina Interna, Departamento de Cirugía, Hospital Civil de Ciudad Madero, Ciudad Madero, Tamaulipas, México.
authors.forename: Estefanie
authors.initials: E
authors.lastname: Villanueva-Rodríguez
authors.affiliation: Servicio de Medicina General, Departamento de Cirugía, Hospital Civil de Ciudad Madero, Ciudad Madero, Tamaulipas, México.
authors.forename: Nubia Alondra
authors.initials: NA
authors.lastname: Gómez-de Leija
mesh_terms: D000038:Abscess / Q000175:diagnosis; D000328:Adult; D001658:Biliary Fistula / Q000000981:diagnostic imaging / Q000209:etiology*; D002763:Cholecystectomy; D017577:Cutaneous Fistula / Q000000981:diagnostic imaging / Q000209:etiology*; D057210:Delayed Diagnosis; D003951:Diagnostic Errors; D017558:Elective Surgical Procedures; D005260:Female; D042882:Gallstones / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D010437:Peptic Ulcer / Q000175:diagnosis; D011859:Radiography; D012422:Rupture, Spontaneous; D014463:Ultrasonography
keywords: Biliary fistula; Fístula biliar