SS  Vol.5 No.2 , February 2014
Spontaneous Cholecystocutaneous Fistula of Anterior Abdominal Wall with Subcutaneous Gallstones: About a Rare Case and Review of the Literature
Abstract: Spontaneous cholecystocutaneous fistula is a rare complication of chronic calculous cholecystitis, because currently gallstones are diagnosed and treated at an early stage. This occurrence is possible even if it seems actually to be rare. We report a case of spontaneous cholecystocutaneous fistula of Anterior Abdominal Wall with subcutaneous gallstones admitted in the medical oncology unit of HASSAN II University Hospital. An 64-year-old woman, presented with a large subcutaneous abscess in the right subcostal area with swelling. An abdominal computed tomography scan showed a subcutaneous gallstone and communication between the abscess and the gallbladder. Cholecystectomy was performed and the abdominal wall abscess was drained externally. This case report demonstrates that maintaining a high degree of suspicion of this rare entity is helpful in achieving correct preoperative diagnosis, and that computed tomography scan should be performed in all cases of unexplained abdominal wall suppuration.
Cite this paper: K. Haoudi, P. Ossibi, S. Rezzouk, M. Oussaid, K. Hassani, S. Laalim, I. Toughrai and K. Mazaz, "Spontaneous Cholecystocutaneous Fistula of Anterior Abdominal Wall with Subcutaneous Gallstones: About a Rare Case and Review of the Literature," Surgical Science, Vol. 5 No. 2, 2014, pp. 43-45. doi: 10.4236/ss.2014.52010.

[1]   R. Pezzilli, B. Barakat, R. Corinaldesi and M. Cavazzab, “Spontaneous Cholecystocutaneous Fistula,” Case Reports in Gastroenterology, Vol. 4, No. 3, 2010 pp. 356-360.

[2]   S. Yüceyar, S. Ertürk, I. Karabi?ak, E. Onur and F. Aydogan, “Spontaneous Cholecystocutaneous Fistula Presenting with an Abscess Containing Multiple Gallstones,” a Case Report,” Mount Sinai Journal of Medicine, Vol. 72, No. 6, 2005, pp. 402-404.

[3]   S. Ijaz, S. Lidder, W. Mohamid and H. H. Thompson, “Cholecystocutaneous Fistula Secondary to Chronic Calculous Cholecystitis,” Case Reports in Gastroenterology, Vol. 2, No. 1, 2008, pp. 71-75.

[4]   T. Nicholson, M. W. Born and E. Garber, “Spontaneous Cholecystocutaneous Fistula Presenting in the Gluteal Region,” Journal of Clinical Gastroenterology, Vol. 28, No. 3, 1999, pp. 276-277.

[5]   A. John, C. Murphy, D. Vimalachandran, N. Howes and P. Ghaneh, “Anterior Abdominal Wall Abscess Secondary to Subcutaneous Gallstones,” Case Reports in Gastroenterology, Vol. 2, No. 2, 2008, pp. 219-223.

[6]   Y. Ozdemir, E. Yucel , I. Sucullu, I. Filiz, B. Gulec, M. L. Akin and M. Yildiz, “Spontaneous Cholecystocutaneous Fistula as a Rare Complication of Gallstones,” Bratislavské Lekárske Listy, Vol. 113, No. 7, 2012, pp. 445-447.

[7]   S. S. Kumar, “Laparoscopic Management of Cholecystocutaneous Abscess,” The American Journal of Surgery, Vol. 64, No. 12, 1999, pp. 1192-1194.