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Case report
Unusual fistula demonstrating the need for an early cholecystectomy
  1. Gregory Harrison and
  2. Roland Fernandes
  1. General Surgery, EKHUFT, Ashford, UK
  1. Correspondence to Dr Gregory Harrison; gregory.harrison1{at}nhs.net

Abstract

A 79-year-old man developed a spontaneous cholecystocutaneous fistula 12 months after an initial episode of acute cholecystitis. A laparoscopic cholecystectomy procedure was twice abandoned due to extensive adhesions and active disease, limiting safe dissection of Calot's triangle. Abdominal collections formed and a spontaneous cholecystocutaneous fistula developed. Imaging revealed an 11 cm calculus and erosion of the fundus of the gall bladder through the sheath. Definitive management was achieved with a laparoscopic assisted open cholecystectomy.

  • gastrointestinal surgery
  • general surgery

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Footnotes

  • Contributors Final operation performed and followed up by RF (consultant upper gastrointestinal surgeon), case report suggested and supervised by him, case report written by GH, foundation year 1.

  • 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.

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