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Spontaneous cholecystocutaneous fistula: an uncommon complication of acute cholecystitis
  1. Philipp Kasper,
  2. Julia Kaminiorz,
  3. Christoph Schramm and
  4. Tobias Goeser
  1. Department of Gastroenterology and Hepatology, Faculty of Medicine and University Hospital Cologne, Cologne, North Rhine Westphalia, Germany
  1. Correspondence to Dr Philipp Kasper; philipp.kasper{at}


A 78-year-old man presented to the hospital with acute right upper quadrant pain, fever and nausea. A focused abdominal ultrasound and abdominal CT scan were performed demonstrating an acute calculous cholecystitis with gallbladder perforation. Although a CT-guided cholecystostomy was performed and a pericholecystic abscess was relieved promptly, the patient developed a cholecystocutaneous fistula in the right hypochondriac region. A cholecystocutaneous fistula is an extremely rare complication that may occur in patients with acute calculous or acalculous cholecystitis, chronic gallstone disease, gallbladder carcinoma or prior hepatobiliary surgery.

  • gastroenterology
  • surgery
  • gastrointestinal surgery
  • ultrasonography

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  • Contributors PK and JK were involved in the conception, drafting and design of the case report and performed acquisition of data. JK, CS and TG were involved in patient management and the analysis and interpretation of clinical results.TG critically revised the manuscript for important intellectual content. PK and JK contributed equally to this work.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.