TY - JOUR
AR - AJSCR-2020-2-107
TI - Cholecystocutaneous Fistula Associated with Necrotizing Fasciitis of the Abdominal Wall: A Case Report
AU -  Victoria Accioly , Russowsky
AU - Marcelo, Ribeiro
AU - Murillo Lima , Favaro
AU - Stephanie , Santin
AU - Vinicius Cunha , Rodrigues
JO - American Journal of Surgical Case Reports
PY - 2020
DA - Fri 15, May 2020
SN - 2674-5046
DO - http://dx.doi.org/10.31487/j.AJSCR.2020.02.07
UR - https://www.sciencerepository.org/cholecystocutaneous-fistula-associated-with-necrotizing-fasciitis-of-the-abdominal-wall_AJSCR-2020-2-107 
KW - Acute cholecystitis, cutaneous fistula, postoperative complications, necrotizing fasciitis, sepsis
AB - Cholecystocutaneous fistula represents an extremely rare complication of calculous cholecystopathy. In the
past 50 years, less than 50 cases have been reported. The most frequent site of spontaneous
cholecystocutaneous fistula is the right hypochondrium, followed by the left hypochondrium, periumbilical,
right lumbar, right iliac fossa and gluteal areas. The association with necrotizing fasciitis that represents a
serious infection, characterized by extensive and rapidly progressive necrosis, affecting the subcutaneous
plane and reaching the muscular fascia provides a high mortality rate and extensive procedures are required.
Herein we present a case of a 64-years-old, female, admitted to the emergency department with complaint
of diffuse, severe abdominal pain, associated with a tense and painful lesion in the abdominal wall with the
diagnose of cholecystocutaneous fistula associated with necrotizing fasciitis that despite an aggressive
surgical approach developed a multisystem failure and died 24 hours after admission.