Negative Pressure Wound Therapy applied to a cholecystoparietal fistula: How to treat a rare complication of a common condition - a case report

  • Francesco Calabrese General Surgery, Surgical Department, Ospedale Unico Plurisede ASL VCO
  • Francesco Palmieri Università di Pavia
  • Giorgio Querini General Surgery, Surgical Department, Ospedale Unico Plurisede ASL VCO
  • Sandro Zonta General Surgery, Surgical Department, Ospedale Unico Plurisede ASL VCO
Keywords: Key words: cholecystoparietal fistula, cholecystitis, gallstones, negative pressure wound therapy, parietal wall abscess.

Abstract

A cholecystoparietal fistula is an uncommon complication of gallstone disease as a result of neglected gallbladder disease).
The subcutaneous abdominal wall abscess, derived from this condition, might be wide and hard to treat, especially in elderly and debilitated patients. The best management of cholecystoparietal fistula depends on its etiology and may require medical, surgical, or endoscopic treatment. Negative Pressure Wound Therapy (NPWT) is a valuable support therapy that can improve the prognosis of the disease and the patient’s outcome.


We report the case of an 89-year-old female patient affected by a spontaneous cholecystoparietal fistula with a wide abdominal wall abscess treated by a one-stage surgical approach combined with NPWT over the resulting skin loss.

Author Biography

Sandro Zonta, General Surgery, Surgical Department, Ospedale Unico Plurisede ASL VCO

Director

References

REFERENCES

Saifaie-Shirazi S, Zike WL, Printen KJ. Spontaneous enterobiliary fistulas. Surg Gynecol Obstet. 1973, 137:769-772.

Crespi M, Montecamozzo G, Foschi D. Diagnosis and treatment of biliary fistulas in laparoscopic era. Gastroenterol Res Pract. 2016, 2016:1-6, Article ID 6293538.

Flora HS, Bhattacharya S. Spontaneous cholecystocutaneous fistula. HPB (Oxford), 2001, 3:279-280.

Horhammer CL. Ueber estraperitonela perforation der gallenblase. Munchener Medizinische Wochenschrift. 1916, 10:1451-1452.

Courvoisier L. Pathologie and chirurgie der gallenwege. Leipzig, Germany, FCW Vogel, 1980.

Andley M, Biswas RS, Ashok S, Someshekar G, Gulati SM. Spontaneous cholecystocutaneous fistula secondary to calculous cholecystitis. Am J Gastroenterol. 1996, 91: 1656-1657.

Urban CA, Urban LABD, Lima RS, Bleggi-Torres LF. Spontaneous combined internal and external biliary fistulae in association with gallstones and gliomatosis of the gallbladder. Rev Bras Cancerol. 2001, 47: 273-276.

Guardado-Bermudez F, Aguilar-Jaimes A, Ardisson-Zamora FJ, Guerrero-Silva LA, Villanueva-Rodriguez E, Gomez NA. Spontaneous cholecystocutaneous fistula. Cirugia y Cirujanos, Elsevier. 2015, 83 (1): 61-64.

Gupta V, Benerjee S, Garg H, Vyas S. Spontaneous cholecysto-antral-cutaneous fistula: a consequence of neglected calculus cholecystitis. Singapore Med J. 2012, 53 (10): 201-203.

Cipolla J, Baillie DR, Steinberg SM, Martin ND, Jaik NP, Lukaszczyk JJ, Stawicki SP. Negative pressure wound therapy: unusual and innovative applications. OPUS 12 Scientist. 2008, 2 (3): 15-29.

Published
2021-04-02
How to Cite
Calabrese, F., Palmieri, F., Querini, G., & Zonta, S. (2021). Negative Pressure Wound Therapy applied to a cholecystoparietal fistula: How to treat a rare complication of a common condition - a case report. Negative Pressure Wound Therapy Journal, 8(1), 4-7. https://doi.org/10.18487/npwtj.v8i1.63
Section
Case Reports