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Unusual fistula demonstrating the need for an early cholecystectomy.
- Source :
-
BMJ case reports [BMJ Case Rep] 2020 Sep 02; Vol. 13 (9). Date of Electronic Publication: 2020 Sep 02. - Publication Year :
- 2020
-
Abstract
- A 79-year-old man developed a spontaneous cholecystocutaneous fistula 12 months after an initial episode of acute cholecystitis. A laparoscopic cholecystectomy procedure was twice abandoned due to extensive adhesions and active disease, limiting safe dissection of Calot's triangle. Abdominal collections formed and a spontaneous cholecystocutaneous fistula developed. Imaging revealed an 11 cm calculus and erosion of the fundus of the gall bladder through the sheath. Definitive management was achieved with a laparoscopic assisted open cholecystectomy.<br />Competing Interests: Competing interests: None declared.<br /> (© BMJ Publishing Group Limited 2020. No commercial re-use. See rights and permissions. Published by BMJ.)
- Subjects :
- Aged
Biliary Fistula etiology
Cholecystitis, Acute etiology
Cholecystolithiasis complications
Cutaneous Fistula etiology
Gallbladder diagnostic imaging
Gallbladder surgery
Humans
Magnetic Resonance Imaging
Male
Time Factors
Time-to-Treatment
Tomography, X-Ray Computed
Treatment Outcome
Biliary Fistula surgery
Cholecystectomy, Laparoscopic methods
Cholecystitis, Acute surgery
Cholecystolithiasis surgery
Conversion to Open Surgery
Cutaneous Fistula surgery
Subjects
Details
- Language :
- English
- ISSN :
- 1757-790X
- Volume :
- 13
- Issue :
- 9
- Database :
- MEDLINE
- Journal :
- BMJ case reports
- Publication Type :
- Academic Journal
- Accession number :
- 32878830
- Full Text :
- https://doi.org/10.1136/bcr-2020-235795