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自发性胆囊皮肤瘘合并含多个胆结石的脓肿:一例报告

Spontaneous cholecystocutaneous fistula presenting with an abscess containing multiple gallstones: a case report.

作者信息

Yüceyar Serdar, Ertürk Süphan, Karabiçak Ilhan, Onur Ender, Aydoğan Fatih

机构信息

Istanbul University, Cerrahpasa Medical Faculty, Department of General Surgery, Istanbul, Turkey.

出版信息

Mt Sinai J Med. 2005 Nov;72(6):402-4.

Abstract

Spontaneous cholecystocutaneous fistula is a rare complication of chronic calculous cholecystitis. This complication, a result of the natural history of gallbladder stones, was formerly common. Today it is rare, because of early diagnosis and treatment of biliary tract diseases. We report a case of spontaneous cholecystocutaneous fistula in a 70-year-old female patient who presented with an abscess formation in the right upper quadrant. After the incision of this infective focus, many gallstones were picked up. One-stage open cholecystectomy and excision of the fistula tract were carried out after control of the abdominal wall infection.

摘要

自发性胆囊皮肤瘘是慢性结石性胆囊炎的一种罕见并发症。这种并发症是胆囊结石自然病程的结果,以前很常见。如今由于胆道疾病的早期诊断和治疗,它已很罕见。我们报告一例70岁女性患者的自发性胆囊皮肤瘘,该患者表现为右上腹脓肿形成。切开这个感染灶后,取出了许多胆结石。在控制腹壁感染后,进行了一期开放胆囊切除术和瘘管切除术。

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