Spontaneous Cholecystocutaneous Fistula: A rare clinical Entity

Abstract

Spontaneous Cholecystocutaneous Fistula occurs as a result of complication from untreated gall bladder stone disease infrequently seen in surgical practice due to early diagnosis of gall stone disease by imaging and appropriate and prompt antibiotic and surgical treatment . We report our experience with a 40 year old lady who presented with yellowish discharge through the umbilicus. Abdominal examination revealed a sinus opening at umbilicus with yellowish discharge and vague mass in the right hypochondrium . CT Fistulogram shows tract extending form umbilicus to gall bladder .Open cholecystectomy with excision of fistulous tract was done. Histopathological examination showed chronic inflammation of gall bladder with fistulous tract lined by inflammatory granulation tissue. Post operative recovery was normal and uneventful .Patient was normal in follow up period . Cholecystocutaneous fistula is a rare clinical entity. Diagnosis is established by CT scan and MRCP. Surgery remains the mainstay of treatment.