Sandhu Harindra, Dhivakar S
Department of Surgery, LLRM Medical College, Uttar Pradesh, India.
Department of Surgery, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India.
J Family Med Prim Care. 2022 Aug;11(8):4841-4843. doi: 10.4103/jfmpc.jfmpc_123_22. Epub 2022 Aug 30.
A middle-aged woman presented to us with complaints of purulent discharge which was coming from the epigastric port site for two years following laparoscopic cholecystectomy, which was performed at an outside hospital for asymptomatic gall stone disease. Computed tomography and magnetic resonance imaging (MRI) confirmed the fistulous sinus track communicating with the anterior body wall of the stomach. At re-laparotomy, the sistulous sinus track was found and excised with primary repair of the defect in the stomach wall. The patient had an uneventful post-operative recovery and was doing well on follow-up. This was the second such case reported in literature where a common surgical procedure like laparoscopic cholecystectomy has led to the formation of gastrocutaneous fistula, which is a rare complication and was successfully managed.
一名中年女性因腹腔镜胆囊切除术后两年来自上腹部切口部位的脓性分泌物而前来就诊。该手术在外地医院进行，用于治疗无症状胆结石疾病。计算机断层扫描和磁共振成像（MRI）证实存在与胃前壁相通的瘘管窦道。再次剖腹手术时，发现了瘘管窦道并将其切除，同时对胃壁缺损进行了一期修复。患者术后恢复顺利，随访情况良好。这是文献中报道的第二例此类病例，即像腹腔镜胆囊切除术这样常见的外科手术导致了胃皮肤瘘的形成，这是一种罕见的并发症，但得到了成功处理。
