TY - JOUR T1 - Unusual fistula demonstrating the need for an early cholecystectomy JF - BMJ Case Reports JO - BMJ Case Reports DO - 10.1136/bcr-2020-235795 VL - 13 IS - 9 SP - e235795 AU - Gregory Harrison AU - Roland Fernandes Y1 - 2020/09/01 UR - http://casereports.bmj.com/content/13/9/e235795.abstract N2 - 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. ER -