title: Right hypochondrial abscess: A rare consequence of supportive cholecystitis.
abstract: BACKGROUND
  Spontaneous cholecystocutaneous abscess is an extremely uncommon complication of acute suppurative cholecystitis. Over the past century very few cases of spontaneous cholecystocutaneous fistulas have been described in the medical literature. We, here, report a case of abdominal wall abscess secondary to cholecystocutaneous fistula.
  
  
  METHODS
  A 78 -year-old male presented as an emergency with a 2 days history of fever, malaise and a right subcostal mass. CT scan of abdomen showed huge abdominal wall abscess communicating intraabdominally to subhepatic area related to gallbladder.
  
  
  CONCLUSIONS
  A high index of suspicion is necessary to diagnose this entity preoperatively and to avoid associated morbidity.
authors.affiliation: Department of General Surgery, Ar Rayan Hospital, Dr Sulaiman Al Habib Medical Group, PO Box 100266, Riyadh, Saudi Arabia.
authors.forename: Omer
authors.initials: O
authors.lastname: El Tinay
authors.affiliation: Department of General Surgery, Ar Rayan Hospital, Dr Sulaiman Al Habib Medical Group, PO Box 100266, Riyadh, Saudi Arabia.
authors.forename: Zaka Ur Rab
authors.initials: ZU
authors.lastname: Siddiqui
authors.affiliation: Department of Infectious Diseases, Ar Rayan Hospital, Dr Sulaiman Al Habib Medical Group, PO Box 100266, Riyadh, Saudi Arabia.
authors.forename: Mogbil
authors.initials: M
authors.lastname: Alhedaithy
authors.affiliation: Department of General Surgery, Ar Rayan Hospital, Dr Sulaiman Al Habib Medical Group, PO Box 100266, Riyadh, Saudi Arabia.
authors.forename: Mohamad Naser Mohamad
authors.initials: MN
authors.lastname: Kharashgah
keywords: Cholecystocutaneous fistula; Cholelithiasis; Right hypochondrial abscess