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Clinical image of a cholecystocutaneous fistulation from chronic cholecystitis

Year: 2025

Type: article

Abstract: A 90-year-old man presented with a 6x7 cm tender, indurated, hard, erythematous lump with a pointing abscess in the right upper abdomen. CT abdomen and pelvis with contrast demonstrated a cholecystocutaneous fistula (CCF) and an inflammatory abdominal wall mass due to chronic gallbladder infection with gallstones. Treatment involved incision and drainage of the anterior abdominal wall under local anaesthesia along with oral co-amoxiclav. CCF is an external biliary fistula connecting the gallbladder to the skin which may arise from untreated gallbladder disease or previous procedures like percutaneous cholecystostomy. Aggressive surgery is generally avoided, especially in elderly and frail patients.

Source: Impact Surgery

DOI: 10.62463/surgery.110

Authors: Akshara Sharma, Ewen Griffiths

Institutions: University Hospitals Birmingham NHS Foundation Trust, Queen Elizabeth Hospital Birmingham

Language: English

Topic: Biliary and Gastrointestinal Fistulas

Subfield: Pulmonary and Respiratory Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W4410892195

FWCI:

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Related to: 10