A rare case of peritoneo-cutaneous fistula after laparoscopy converted to open failed cholecystectomy: meticulously managed by laparoscopy
DOI:
https://doi.org/10.18203/2349-2902.isj20191288Keywords:
Peritoneocutaneous fistula, Cholecysto-cutaneous fistula, Difficult cholecystectomy, Failed cholecystectomy, Abandoned cholecystectomy, Redo cholecystectomyAbstract
Peritoneo-cutaneous fistula can occur following cholecystectomy due to leftover stones. However, cholecysto-cutaneous fistula has been found to be associated with complication of acute cholecystitis. But never before a fistula associated with abandoned cholecystectomy without spillage of stone have been described in literature. We describe a case report of a 25-year-old female presented with right upper quadrant serous discharge from a previous incision site for the past 8 months. The patient had a history of failed cholecystectomy one year back. The patient was evaluated radiologically with computed tomography sinogram and magnetic resonance cholangiopancreatogram (MRCP) and found to have a tract communicating with subcutaneous tissue and gallbladder fossa with normal gallbladder anatomy and a single calculus. The patient was managed laparoscopically. Laparoscopic cholecystectomy was performed successfully with excision of peritoneo-cutaneous fistula tract. All difficult and failed cholecystectomies should be attempted at high volume surgical centres by an experienced laparoscopic surgeon only.
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