Nobel M, Schwartz P, Lehman J, Antebi E
Harefuah. 1989 May 1;116(9):469-70.
Spontaneous biliary cutaneous fistula is a rare complication of inflammatory perforation of the gallbladder. We describe a 70-year-old woman who developed a fistula between the gallbladder and the skin following drainage of an abdominal wall abscess. In such cases primary drainage of the abscess alone is advisable. Only after the active infection has subsided should definitive cholecystectomy and excision of the fistulous tract be carried out.
自发性胆皮肤瘘是胆囊炎性穿孔的一种罕见并发症。我们描述了一名70岁女性,她在腹壁脓肿引流后出现了胆囊与皮肤之间的瘘管。在这种情况下,仅对脓肿进行初步引流是可取的。只有在活动性感染消退后,才应进行确定性胆囊切除术和瘘管切除术。