Spontaneous Cholecystocutaneous Fistula: A Case Report
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Abstract
Cholecystocutaneous fistula (CCF) is defined as a pathological communication between the gallbladder and/or its ducts directly with the skin. It is a rare complication of chronic calculous cholecystopathy. Its clinical presentation ranges from gastrointestinal symptoms such as nausea and vomiting, abdominal pain, jaundice, and acute pancreatitis to the drainage of biliary secretion and gallstones through the abdominal wall. The mainstay of treatment involves surgical reconstruction of the biliary anatomy. The incidence of new CCF cases appears to be decreasing due to earlier medical intervention and definitive treatments. This case report presents a patient with acute-on-chronic calculous cholecystitis who developed a CCF with externalization of a gallstone, requiring surgical management.
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