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Indian Journal of Surgery

, Volume 74, Issue 2, pp 191–193 | Cite as

Spontaneous Cholecysto-Cutaneous Fistula Complicating Carcinoma of the Gall Bladder: A Case Report

  • Kuljinder SodhiEmail author
  • Mohd Athar
  • Vijay Kumar
  • Inder D. Sharma
  • Nuzhat Husain
Case Report

Abstract

Most cholecystocutaneous fistulas are postoperative complications of liver and biliary tract surgery or trauma. External biliary fistulas rarely occur spontaneously as a result of intrahepatic abscess (pyogenic or parasitic), necrosis or perforation of the gallbladder, or other inflammatory process involving the biliary tree. A cholecystocutaneous fistula as a presentation of an underlying cancer arising from the gall bladder is an extremely uncommon finding. Over the past 50 years fewer than 20 cases of spontaneous cholecystocutaneous fistulas have been described in the medical literature but so far there has been no published report of a cholecystocutaneous fistula arising from adenocarcinoma of gall bladder. We here report a case of a patient presenting with spontaneous cholecystocutaneous fistula from cancer of gall bladder.

Keywords

Cholecystocutaneous fistula Gall bladder adenocarcinoma Chemotherapy 

References

  1. 1.
    Bartlett D, Fong Y, Fortner JG, Brennan MF, Blumgart LH (1996) Long-term results after resection for gallbladder cancer. Ann Surg 224(5):639–646PubMedCrossRefGoogle Scholar
  2. 2.
    Nicholson T, Born MW, Garber E (1999) Spontaneous cholecystocutaneous fistula presenting in the gluteal region. J Clin Gastroenterol 28(3):276–277PubMedCrossRefGoogle Scholar
  3. 3.
    Nayman J (1963) Empyema necessitatis of the gall-bladder. Med J Aust 1:429–430PubMedGoogle Scholar
  4. 4.
    Vasanth A, Siddiqui A, O'Donnell K (2004) Spontaneous cholecystocutaneous fistula. South Med J 97(2):183–185PubMedCrossRefGoogle Scholar
  5. 5.
    Cubertafond P, Gainant A, Cucchiaro G (1994) Surgical treatment of 724 carcinomas of the gall bladder. Results of the French Surgical Association Survey. Ann Surg 219:275–280PubMedCrossRefGoogle Scholar
  6. 6.
    Gibson TC, Howat JMT (1987) Cholecystocutaneous fistula. Br J Clin Pract 41:980–982PubMedGoogle Scholar
  7. 7.
    Flora HS, Bhattacharya S (2001) Spontaneous cholecystocutaneous fistula. HPB(Oxford) 3(4):279–280Google Scholar
  8. 8.
    Memon MA, Anwar S, Shiwani MH, Memon B (2005) Gall bladder carcinoma: a retrospective analysis of twenty two years experience of a single teaching hospital. Int Semin Surg Oncol 2(1):6PubMedCrossRefGoogle Scholar
  9. 9.
    Piehler JM, Crichlow RW (1978) Primary carcinoma of the gall bladder. Surg Gynecol Obstet 147(6):929–942PubMedGoogle Scholar

Copyright information

© Association of Surgeons of India 2011

Authors and Affiliations

  • Kuljinder Sodhi
    • 1
    Email author
  • Mohd Athar
    • 1
  • Vijay Kumar
    • 1
  • Inder D. Sharma
    • 1
  • Nuzhat Husain
    • 1
  1. 1.King George Medical CollegeLucknowIndia

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