Consequences of gallbladder inflammation: spontaneous cholecystocutaneous fistula: a case report

One of the most unusual complications in gall bladder disease is spontaneous cholecystocutaneous fistula (SCF), which has only been reported a few times in the literature. We report the case of a 67-year-old man who presented with a right hypochondrium discharging sinus. Identification of a cholecystocutaneous fistula was made by computed tomography with contrast media, followed by MRCP. This confirmed the presence of a fistulous pathway between the gallbladder and the skin. The patient underwent exploratory laparotomy with subtotal cholecystectomy with en block aponeurotic muscle, skin and fistula orifice excision.