Spontaneous Bilio-Cutaneous Fistula in Cholecystolithiasis

Czech version

Authors: J. Mergancová; P. Vyhnálek; L. Ulvrová; J. Studnička
Authors‘ workplace: PKN, patologicko-anatomické oddělení, MUDr. Pavel Rothröckel ; PKN, interní klinika, doc. MUDr. Holm, CSc. ; PKN, radiodiagnostické oddělení, MUDr. Leoš Ungermann, Ph. D. ; PKN, chirurgická klinika, doc. MUDr. Šiller, Ph. D.
Published in: Rozhl. Chir., 2010, roč. 89, č. 10, s. 625-627.
Category: Monothematic special - Original

Overview

Spontaneous cholecystocutanea fistula is very rare disorder. The occurrence is very frequent in women above 60years old. The symptoms of this disorder are nonspecific. The diagnosis is not made when the symptoms are not search actively. The first type of examination is fistulography. Laparotomic scheduled chelocystectomy is preferred in therapy. Conservative approach is suitable therapy only for polymorbid patients.

Key words:
cholecystolithiasis – biliocutaneous fistula - ERCP

Sources

1. Flora, H. S., Bhattacharya, S. Spontaneous cholecystocutaneous fistula. HPB (Oxford), 2001; 3(4): 279–280.

2. Cruz, R. J. Jr, Nahas, J., de Figueiredo, L. F. Spontaneous cholecystocutaneous fistula: a rare complication of gallbladder disease. Sao Paolo Med. J. 2006 Jul, 6; 124(4): 234–236.

3. Birch, B. R., Cox, S. J. Spontaneous external biliary fistula uncomplicated by gallstones. Postgrad. Med. J., 1991 Apr; 67(786): 391–392.

4. Yüceyar, S., Ertürk, S., Karabicak, I., et al. Spontaneous cholecystocutaneous fistula presenting with an abscess containing multiple gallstones: a case report. Mt. Sinai J. Med., 2005 Nov; 72(6): 402–404.

5. Nicholson, T., Born, M. W., Garber, E. Spontaneous cholecystocutaneous fistula presenting in the gluteal region. J. Clin. Gastroenterol., 1999 Apr; 28(3): 276–277.

6. Gifford, J., Saltzstein, S. L. Adenocarcinoma occurring in association with a chronic sinus tract and biliary fistula. Cancer, 1981; 47: 2093–2097.

7. Kuo, Y. C. Spontaneous cutaneous biliary fistula: a rare complication of cholangiocarcinoma. J. Clin. Gastroenterol., 1990; 12: 451–453.

8. Paseka, T., Veverková, L. et al. Mirizziho syndrom s cholecystoduodenální píštělí – vzácná komplikace cholecystolitiázy. Čas. lék. čes., Praha 2009; vol. 2009, no. 4, s. 164–167.

9. Morissey, K. P., McSherry, C. K. Internal biliary fistula and gallstone ileus. In: Czerniak, A., Blumgart, L. H., et al. Surgery of the Liver and Biliary Tract, vol 1. Edinburgh: Churchill Livingstone, 1994.

10. Reed, M. W. R., Tweede, J. H. Spontaneous simultaneous internal and external biliary fistulae. Br. J. Surg., 1985; 72: 538.

11. Davies, M. G., Tadros, E., Gaine, S., et al. Combined internal and external biliary fistulae treated by percutaneous cholecystolithotomy. Br. J. Surg., 1989; 76: 1258.

12. Urban, C. A., Lima, R. S. Spontaneous combined internal and external biliary fistulae in association with gallstones and gliomatosis of the gallbladder. Revista Brasileira de Cancerologia, 2000; 47: 273–276.

13. Dutriaux, C., Maillard, H., Prophette, B., et al. Spontaneous cholecystocutaneous fistula. Ann. Dermatos. Venereol., 2005 May; 132(5): 467–469.

14. Chang, S. S., Lu, C. L., Pan, C. C., et al. Spontaneous cholecystocutaneous fistula presenting with a cellulitis and portal vein thrombosis. J. Clin. Gastroenterol., 2002 Jan; 34(1): 99–100.

15. Mathonnet, M., Maisonnette, F., Gainant, A., et al. Spontaneous cholecystocutaneous fistula: natural history of biliary cholecystitis. Ann. Chir., 2002 May; 127(5): 378–380.

16. Vasanth, A., Siddiqui, A., O’Donnell, K. Spontaneous cholecystocutaneous fistula. South Med. J., 2004 Feb; 97(2): 183–185.