TY - JOUR
AR - SCR-2020-10-103
TI - The Cholecystocutaneous Fistula: A Rare Manifestation of Neglected Cholecystitis
AU - Davek , Sharma
AU - Jacob , Katsnelson
AU - James , J. Butz
AU - Jeffrey , Kolff
JO - Surgical Case Reports
PY - 2020
DA - Fri 09, Oct 2020
SN - 2613-5965
DO - http://dx.doi.org/10.31487/j.SCR.2020.10.03
UR - https://www.sciencerepository.org/the-cholecystocutaneous-fistula-a-rare-manifestation-of-neglected-cholecystitis_SCR-2020-10-103 
KW -   Cholecystocutaneous fistula, chronic cholecystitis, rare manifestations, case report, necrotizing cholecystitis, emphysematous cholecystitis, neglected cholecystitis
AB - Introduction: Cholecystocutaneous fistula is a rare complication of acute or chronic cholecystitis, most
often seen in the elderly in whom diagnosis is delayed. Management can be difficult due to it's late
presentation, patient comorbidities, and poor candidacy for a major surgical intervention. We report the
management of a case of cholecystocutaneous fistula in a patient with chronic lymphocytic leukemia who
presented in acute sepsis.
Case Report: An 89-year-old female presented with several days of abdominal pain, fever, and a right
upper quadrant abdominal wall abscess with surrounding cellulitis. A CT demonstrated fistulization of the
gallbladder to the anterior abdominal wall. The patient was stabilized in our ICU and external drainage of
the abscess and decompression of the gallbladder was performed for source control. Physicians should be
aware of the cholecystocutaneous fistula as a late complication of undiagnosed cholecystitis in the elderly
patient population as well as the surgical options available for treatment.