Spontaneous cholecystocutaneous fistula

BackgroundSpontaneous cholecystocutaneous fistula is defined as a gallbladder communication with the external environment through the abdominal wall rupture. The first reports were written in the seventeenth century by Thilesus. During the past 50 years, 25 cases have been reported.Clinical caseThe case is presented of a 30-year-old woman, who had a five-year history of biliary colic. Six months prior to her medical assessment there was a leak of biliary material and gallstones spontaneously in the right upper quadrant. Fistulogram was performed with no evidence of obstruction. A cholecystectomy and resection of the fistula was subsequently performed.DiscussionThe biliary fistulas are an abnormal communication from the gallbladder into another surface. It is a rare condition nowadays, as it only occurs in 10% of patients with gallbladder lithiasis. Although the clinical signs of spontaneous cholecystocutaneous fistula clinic are more than evident, it is imperative to perform studies like ultrasound, tomography, and a fistulogram. The mainstay of treatment is cholecystectomy, resection of the fistula, and repair of abdominal wall defect.ConclusionThe incidence of cholecystocutaneous fistula today is minimal and it seems that the current trend is to become an entity anecdotal. The subcostal abdominal examination approach remains as the first choice. The laparoscopic approach is an option reserved for the experienced surgeon