%0 Journal Article %A Gregory Harrison %A Roland Fernandes %T Unusual fistula demonstrating the need for an early cholecystectomy %D 2020 %R 10.1136/bcr-2020-235795 %J BMJ Case Reports %P e235795 %V 13 %N 9 %X 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. %U https://casereports.bmj.com/content/bmjcr/13/9/e235795.full.pdf