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Masquerade: an unusual presentation of gall bladder perforation as umbilical fistula
  1. Naveen Sundaram Victor1,
  2. Negine Paul2,
  3. Aparna Jagannathan Munjurpattu1 and
  4. Ravish Sanghi Raju1
  1. 1Hepatobiliary Surgery, Christian Medical College and Hospital, Vellore, Tamil Nadu, India
  2. 2Upper Gastrointestinal Surgery, Division of General Surgery, Christian Medical College and Hospital, Vellore, Tamil Nadu, India
  1. Correspondence to Dr Negine Paul; neginepaul{at}


A 75-year-old woman presented with intermittent abdominal pain and distention for 2 months, followed by purulent discharge from the umbilicus for ten days. She was evaluated and diagnosed to have perforation of the gall bladder leading to formation of an anterior abdominal wall abscess which presented as an umbilical fistula. She underwent laparoscopic cholecystectomy along with lay open of abscess in the falciform ligament and curettage of the umbilical fistula tract. She had an uneventful postoperative recovery.

  • biliary intervention
  • gastrointestinal surgery
  • general surgery

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  • Contributors Conception: NP. Drafting the article: NSV. Review of manuscript and revising it critically for important intellectual content:NP, AJM, RSR. Final approval of the version to be submitted and any revised version to be published: NP and RSR.

  • 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.

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