自发性胆囊-皮肤瘘。
Spontaneous cholecystocutaneous fistula.
机构信息
Department of General Surgery, Barts and the London NHS Trust,The Royal London Hospital, London, UK.
出版信息
HPB (Oxford). 2001;3(4):279-80. doi: 10.1080/136518201753335584.
BACKGROUND
An external biliary fistula is a rare complication of gallstone disease. We present a case of cholecystocutaneous fistula successfully treated with excision and cholecystectomy.
CASE OUTLINE
A 67-year-old man presented with a persisting discharge from what was thought to be an'abscess' in the right hypochondrium, which had previously been incised and drained.
RESULTS
Investigation with computed tomography, ultrasound scanning and sinography demonstrated a cholecystocutaneous fistula and calculous cholecystitis. The fistulous track was excised together with the gallbladder.
DISCUSSION
This condition is rarely seen nowadays due to the greater availability of antibiotic therapy and biliary surgery. Cholecystectomy is the preferred treatment, although in a few patients, the fistula may close spontaneously.
背景
胆外瘘是胆石病的罕见并发症。我们报告了一例成功采用切除和胆囊切除术治疗的胆囊皮肤瘘病例。
病例概述
一名 67 岁男性因右季肋部先前切开引流的“脓肿”持续排液就诊。
结果
通过计算机断层扫描、超声扫描和窦道造影检查，发现胆肠瘘和胆石性胆囊炎。瘘管和胆囊一并被切除。
讨论
由于抗生素治疗和胆道手术的普及，这种情况现今很少见。胆囊切除术是首选治疗方法，但在少数患者中，瘘管可能会自行闭合。
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