Fístula Colecistocutânea Espontânea: Relato de Caso
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Resumo
A fístula colecistocutânea (FCC) é definida como uma comunicação patológica entre a vesícula biliar e/ou seus ductos diretamente com a pele. Trata-se de uma complicação rara da colecistopatia calculosa crônica. Sua apresentação clínica varia desde sintomas gastrointestinais, como náuseas e vômitos, dor abdominal, icterícia e pancreatite aguda, até drenagem de secreção biliar e eliminação de cálculos pela parede abdominal. O tratamento baseia-se principalmente na reconstrução cirúrgica da anatomia biliar. A incidência de novos casos de FCC parece estar diminuindo devido à intervenção médica precoce e aos tratamentos definitivos. Este relato de caso apresenta um paciente com colecistite calculosa aguda sobre crônica que desenvolveu uma FCC com exteriorização de um cálculo biliar, necessitando de abordagem cirúrgica.
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