Spontaneous cholecystocutaneous fistula: a rare complication of gallbladder disease
Autor(a) principal: | |
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Data de Publicação: | 2006 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | São Paulo medical journal (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802006000400012 |
Resumo: | CONTEXT: Spontaneous cholecystocutaneous abscess or fistula is an extremely uncommon complication secondary to cholecystitis. Over the past 50 years fewer than 20 cases of spontaneous cholecystocutaneous fistulas have been described in the medical literature. We here report a case of subcutaneous gallstone as a rare clinical presentation of the already uncommon cholecystocutaneous fistula. CASE REPORT: An 81-year-old man presented with a large subcutaneous abscess in the right subcostal area with surrounding cellulitis and crepitus. An abdominal computed tomography scan showed two subcutaneous gallstones 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 or cellulitis. |
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São Paulo medical journal (Online) |
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|
spelling |
Spontaneous cholecystocutaneous fistula: a rare complication of gallbladder diseaseDigestive system fistulaAbscessTomographyCholecystectomySurgeryCONTEXT: Spontaneous cholecystocutaneous abscess or fistula is an extremely uncommon complication secondary to cholecystitis. Over the past 50 years fewer than 20 cases of spontaneous cholecystocutaneous fistulas have been described in the medical literature. We here report a case of subcutaneous gallstone as a rare clinical presentation of the already uncommon cholecystocutaneous fistula. CASE REPORT: An 81-year-old man presented with a large subcutaneous abscess in the right subcostal area with surrounding cellulitis and crepitus. An abdominal computed tomography scan showed two subcutaneous gallstones 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 or cellulitis.Associação Paulista de Medicina - APM2006-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802006000400012Sao Paulo Medical Journal v.124 n.4 2006reponame:São Paulo medical journal (Online)instname:Associação Paulista de Medicinainstacron:APM10.1590/S1516-31802006000400012info:eu-repo/semantics/openAccessCruz Junior,Ruy JorgeNahas,JorgeFigueiredo,Luiz Francisco Poli deeng2006-10-30T00:00:00Zoai:scielo:S1516-31802006000400012Revistahttp://www.scielo.br/spmjhttps://old.scielo.br/oai/scielo-oai.phprevistas@apm.org.br1806-94601516-3180opendoar:2006-10-30T00:00São Paulo medical journal (Online) - Associação Paulista de Medicinafalse |
dc.title.none.fl_str_mv |
Spontaneous cholecystocutaneous fistula: a rare complication of gallbladder disease |
title |
Spontaneous cholecystocutaneous fistula: a rare complication of gallbladder disease |
spellingShingle |
Spontaneous cholecystocutaneous fistula: a rare complication of gallbladder disease Cruz Junior,Ruy Jorge Digestive system fistula Abscess Tomography Cholecystectomy Surgery |
title_short |
Spontaneous cholecystocutaneous fistula: a rare complication of gallbladder disease |
title_full |
Spontaneous cholecystocutaneous fistula: a rare complication of gallbladder disease |
title_fullStr |
Spontaneous cholecystocutaneous fistula: a rare complication of gallbladder disease |
title_full_unstemmed |
Spontaneous cholecystocutaneous fistula: a rare complication of gallbladder disease |
title_sort |
Spontaneous cholecystocutaneous fistula: a rare complication of gallbladder disease |
author |
Cruz Junior,Ruy Jorge |
author_facet |
Cruz Junior,Ruy Jorge Nahas,Jorge Figueiredo,Luiz Francisco Poli de |
author_role |
author |
author2 |
Nahas,Jorge Figueiredo,Luiz Francisco Poli de |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Cruz Junior,Ruy Jorge Nahas,Jorge Figueiredo,Luiz Francisco Poli de |
dc.subject.por.fl_str_mv |
Digestive system fistula Abscess Tomography Cholecystectomy Surgery |
topic |
Digestive system fistula Abscess Tomography Cholecystectomy Surgery |
description |
CONTEXT: Spontaneous cholecystocutaneous abscess or fistula is an extremely uncommon complication secondary to cholecystitis. Over the past 50 years fewer than 20 cases of spontaneous cholecystocutaneous fistulas have been described in the medical literature. We here report a case of subcutaneous gallstone as a rare clinical presentation of the already uncommon cholecystocutaneous fistula. CASE REPORT: An 81-year-old man presented with a large subcutaneous abscess in the right subcostal area with surrounding cellulitis and crepitus. An abdominal computed tomography scan showed two subcutaneous gallstones 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 or cellulitis. |
publishDate |
2006 |
dc.date.none.fl_str_mv |
2006-01-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802006000400012 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802006000400012 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/S1516-31802006000400012 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Associação Paulista de Medicina - APM |
publisher.none.fl_str_mv |
Associação Paulista de Medicina - APM |
dc.source.none.fl_str_mv |
Sao Paulo Medical Journal v.124 n.4 2006 reponame:São Paulo medical journal (Online) instname:Associação Paulista de Medicina instacron:APM |
instname_str |
Associação Paulista de Medicina |
instacron_str |
APM |
institution |
APM |
reponame_str |
São Paulo medical journal (Online) |
collection |
São Paulo medical journal (Online) |
repository.name.fl_str_mv |
São Paulo medical journal (Online) - Associação Paulista de Medicina |
repository.mail.fl_str_mv |
revistas@apm.org.br |
_version_ |
1754209261679804416 |