Davek  Sharma,Jacob  Katsnelson,James  J. Butz,Jeffrey  Kolff,
The Cholecystocutaneous Fistula: A Rare Manifestation of Neglected Cholecystitis
Surgical Case Reports
2020
2613-5965
http://dx.doi.org/10.31487/j.SCR.2020.10.03
https://www.sciencerepository.org/the-cholecystocutaneous-fistula-a-rare-manifestation-of-neglected-cholecystitis_SCR-2020-10-103 
Abstract: 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.Keywords:   Cholecystocutaneous fistula, chronic cholecystitis, rare manifestations, case report, necrotizing cholecystitis, emphysematous cholecystitis, neglected cholecystitis