TITLE:
Spontaneous Cholecystocutaneous Fistula of Anterior Abdominal Wall with Subcutaneous Gallstones: About a Rare Case and Review of the Literature
AUTHORS:
Khalid El Haoudi, Pierlesky Elion Ossibi, Salima Rezzouk, Mourad Oussaid, Karim Ibn Majdoub Hassani, Said Ait Laalim, Imane Toughrai, Khalid Mazaz
KEYWORDS:
Gallbladder; Fistula; Gallstones; Abscess
JOURNAL NAME:
Surgical Science,
Vol.5 No.2,
February
7,
2014
ABSTRACT: Spontaneous cholecystocutaneous fistula is a rare
complication of chronic
calculous cholecystitis, because
currently gallstones are diagnosed and treated at an early stage. This occurrence is possible even if it seems
actually to be rare. We report a case of spontaneous cholecystocutaneous
fistula of Anterior Abdominal Wall with subcutaneous gallstones admitted in the
medical oncology unit of HASSAN II University Hospital. An 64-year-old woman,
presented with a large subcutaneous abscess in the right subcostal area with
swelling. An abdominal computed tomography scan showed a subcutaneous gallstone
and communication between the abscess and the gallbladder. Cholecystectomy was
performed and the abdominal wall abscess was drained externally. This case
report demonstrates that maintaining a high degree of suspicion of this rare
entity is helpful in achieving correct preoperative diagnosis, and that
computed tomography scan should be performed in all cases of unexplained
abdominal wall suppuration.