Hernández AV, Jiménez LM

Language: Spanish
References: 7
Page: 39-42
PDF size: 348.58 Kb.

ABSTRACT

Introduction: Cholecistocutaneous fistula is a complication of acute cholecystitis. The frequency has decreased with the use of antibiotics and surgery. Internal fistulas are more frequently found to the duodenum (75%). External fistulas can be due to acute cholecystitis, surgical injury, cholangiocarcinoma or trauma. Diagnose can be done with ultrasound or TC scan. Treatment includes antibiotics, cholecystectomy and resection of the fistula. Case report: A 39 year old woman presents with a history of hyperemia, pain, and biliary discharge on the right upper quadrant. On the physical exam and TC scan we found a biliary fistula so laparoscopic surgery is performed with cholecystectomy and resection with no complications. Conclusion: There are large series reported associated with acute disease; nevertheless the incidence of this disease has decreased with early diagnosis, so the presence of spontaneous fistula is not frequent on the general population. The laparoscopic surgery is safe especially on those patients with comorbidities.

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