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.