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经皮胆囊造瘘术后胆囊皮肤瘘管自发排出胆结石

The Spontaneous Expulsion of a Gallstone From a Cholecystocutaneous Fistula Following Percutaneous Cholecystostomy.

作者信息

Qureshi Maryum, Goh Barnabas, Strauss Paul, Nyandowe Masimba

机构信息

General Surgery, Austin Health, Melbourne, AUS.

General Surgery, Central Gippsland Health, Victoria, AUS.

出版信息

Cureus. 2025 Feb 19;17(2):e79282. doi: 10.7759/cureus.79282. eCollection 2025 Feb.

Abstract

We report an interesting case of a 102-year-old female who presented with a purulent abdominal discharge on the site of a previous percutaneous cholecystostomy in the setting of emphysematous cholecystitis 12 months prior. Imaging demonstrated a cholecystocutaneous fistula (CCF) and a retained calculus along the fistulous tract. On removing the drainage bag, a 2cm calculus was found at the skin level, which was also removed. The patient was discharged with oral antibiotics and found to be symptom-free at the clinical follow-up.

摘要

我们报告了一例有趣的病例,一名102岁女性,12个月前因气肿性胆囊炎接受经皮胆囊造瘘术,术后造瘘部位出现脓性腹腔引流液。影像学检查显示存在胆囊皮肤瘘(CCF)以及沿瘘管的一枚残留结石。取下引流袋时,在皮肤处发现一枚2厘米的结石,也将其取出。患者口服抗生素后出院,临床随访时无症状。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0554/11927365/4ca7ad858e20/cureus-0017-00000079282-i01.jpg

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