RT Journal Article
SR Electronic
T1 Spontaneous cholecystocutaneous fistulas
JF Cleveland Clinic Journal of Medicine
JO Cleve Clin J Med
FD Cleveland Clinic
SP 363
OP 365
VO 53
IS 4
A1 Hakaim, A. G.
A1 Vogt, David P.
YR 1986
UL http://www.ccjm.org/content/53/4/363.abstract
AB Spontaneous cholecystocutaneous fistula is rarely seen today because of the increased frequency and relative safety of biliary surgery. Chronic gallbladder inflammation secondary to calculous disease is the most frequent cause. Initial therapy consists of local drainage; a contrast-enhanced study of the fistulous tract should then be obtained. Definitive therapy consists of excision of the fistula, cholecystectomy, and intraoperative cholangiography. This problem occurs more frequently in the stoical, elderly patient with neglected biliary disease. A case is presented, along with a review of the literature.