Table 1: Management of Previous Reported Cholecystocutaneous Fistula Cases.

Report

Patient

Presentation

Time from onset of symptoms

Treatment

Outcome

Davies et al. [5]

84 y/o male

Draining sinus tract

3 months

Incision and drainage, foley placed into gallbladder for drainage

Patent biliary system on delayed cholecystogram, successful fistula tract closed after drain removal

Cruz et al. [1]

81 y/o male

Right subcostal abscess

28 days

Midline laparotomy, cholecystectomy, external drainage of abscess

Death from massive pulmonary embolism, POD3

Malik et al. [12]

76 y/o female

Abdominal wall abscess

N/A

Laparoscopic cholecystectomy

Recovery and discharge

Pezzilli et al. [14]

90 y/o female

Low grade fevers, diarrhea, erythema along right abdominal quadrant

4 days

CT-guided drainage of abscess, IV antibiotics, supportive care

Death on HD3

Yuceyar et al. [9]

70 y/o female

RUQ pain, abdominal wall swelling

8 weeks

Incision and drainage, IV antibiotics, delayed open cholecystectomy and excision of fistula tract (HD12)

Uneventful postoperative recovery

Kumar et al. [11]

72 y/o male

Fever, leukocytosis, RUQ subcutaneous abscess

N/A

Laparoscopic cholecystectomy, open drainage of abdominal wall abscess

Recovery, no reported complication

Sayed et al. [15]

85 y/o female

RUQ abscess and drainage

3 months

ERCP with stone removal and sphincterotomy

Progressive fistula healing

Khan et al. [10]

76 y/o male

RUQ pain, swelling

N/A

Open cholecystectomy

N/A

Ozdemir et al. [8]

89 y/o female

RUQ pain, abdominal wall abscess

3 days

IV antibiotics, delayed open cholecystectomy and excision of fistula tract, CBD exploration and removal of stone (HD24)

Uneventful postoperative recovery

Kapoor et al. [7]

45 y/o male

 

 

 

65 y/o male

RUQ and biliary discharge from previous scar

 

 

Chronic draining sinus of the RUQ

1.5 months

 

 

 

2.5 years

Fistula exploration, open cholecystectomy, excision of fistula tract

 

Open cholecystectomy, excision of fistula tract

Uneventful recovery in both patients

Pol et al. [13]

70 y/o female

RUQ pain, swelling, draining sinus tract

2 years

Laparoscopic cholecystectomy and excision of fistula tract

Discharge on POD3, fistula tract healed at POD21

1HD=Hospital Day, 2POD=Postoperative Day, 3N/A=Information not available, 4RUQ=Right upper quadrant of abdomen.