Cholecystocutaneous fistula after cholecystectomy.

Autor: Sah R; Surgical Gastroenterology Department, Nepal Mediciti Hospital, Karyabinayak, Lalitpur 44600, Nepal., Rawal SB; Surgical Gastroenterology Department, Nepal Mediciti Hospital, Karyabinayak, Lalitpur 44600, Nepal., Malla S; Surgical Gastroenterology Department, Nepal Mediciti Hospital, Karyabinayak, Lalitpur 44600, Nepal., Rayamajhi J; Surgical Gastroenterology Department, Nepal Mediciti Hospital, Karyabinayak, Lalitpur 44600, Nepal., Bhat PS; Surgical Gastroenterology Department, Nepal Mediciti Hospital, Karyabinayak, Lalitpur 44600, Nepal.
Jazyk: angličtina
Zdroj: Journal of surgical case reports [J Surg Case Rep] 2024 Oct 04; Vol. 2024 (10), pp. rjae617. Date of Electronic Publication: 2024 Oct 04 (Print Publication: 2024).
DOI: 10.1093/jscr/rjae617
Abstrakt: Cholecystocutaneous fistula is an exceedingly rare type of external biliary fistula, where an abnormal connection forms between the gallbladder and the skin. Cholecystocutaneous fistula commonly develops in the setting of chronic calculus cholecystitis or following a previous surgical intervention involving the biliary tract. Patients with cholecystocutaneous fistula often present with systemic symptoms, such as fever, nausea, and vomiting, as well as localized symptoms in the right upper quadrant of the abdomen, where the external opening of the fistula is typically found. Ultrasonography, computed tomography, magnetic resonance imaging, magnetic resonance cholangiopancreatography (MRCP), and fistulograms (computed tomography or X-ray) are commonly used. Computed tomography has proven to be more effective than ultrasonography in delineating the fistulous tract and the associated fluid collections. Open cholecystectomy with excision of the fistulous tract is considered the gold standard and is curative in the majority of cases. However, a laparoscopic approach has become a viable alternative, especially in the hands of experienced surgeons.
Competing Interests: None declared.
(Published by Oxford University Press and JSCR Publishing Ltd. © The Author(s) 2024.)
Databáze: MEDLINE
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