PMC5698921_01
Cholecystocutaneous fistula, macroscopic appearance.
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Hospital "Ospedale Vittorio Emenuele" and seen in our surgical department. He presented with a 3 cm tumefaction of the right hypochondrium, surrounded by an erythematous skin area, with small secretion of a yellowing-green material, attributable to a bile leaking ( Figure 1).
Abdominal computed tomography images.. Left image, * indicates the gallbladder; right image, the arrows indicates the fistula.
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Abdominal computed tomography scan with contrast media showed the gallbladder walls had diffuse thickened and blurred edges, and the right and transverse abdominal muscles were almost covered and embedded with minute hypo-dense ailments compatible with relapsing phlogistic processes ( Figure 2).
Hepatobiliary MRI.. The white arrows show the fistula. From left to right: coronal and sagittal fistula view.
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The side wall showed a break through with consensual purulent collection, which extruded through the thick abdominal wall ( Figure 3).