Abstract
Spontaneous combined internal and external biliary fistula is a very rare complication of biliary tract disease. Only two previous cases have been reported so far, and all of them with previous episodes of acute cholecystitis, treated without surgery. We describe a 27-year-old female patient (the younger reported to date) who presented with a long history of neglected gallbladder inflammation complicated by neuroglial implants on the peritoneum and on the gallbladder wall due to an ovarian teratoma. She had spontaneous cholecystocutaneous fistula and cholecystocolic fistula that were successfully treated by cholecystectomy and excision of the fistulous tract.
Highlights
Spontaneous biliary fistula is a rare complication of gallstones, occurring in 3 per cent of all patients undergoing biliary surgery.[1]
This is the younger patient reported to date, and the first with the association of long time biliary tract disease, gallstones and gliomatosis peritonei with deposits on the gallbladder wall due to an ovarian teratoma
Spontaneous external biliary fistulae was a common complication of biliary tract disease in the last century
Summary
Cícero de Andrade Urban[1], Linei Augusta Brolini Dellê Urban[2], Rubens Silveira de Lima[1] and Luiz Fernando Bleggi-Torres[3]. We describe a 27-year-old female patient (the younger reported to date) who presented with a long history of neglected gallbladder inflammation complicated by neuroglial implants on the peritoneum and on the gallbladder wall due to an ovarian teratoma. She had spontaneous cholecystocutaneous fistula and cholecystocolic fistula that were successfully treated by cholecystectomy and excision of the fistulous tracts. Neste estudo, uma paciente de 27 anos de idade (a mais jovem relatada na literatura), que se apresentou com uma longa história de colecistite calculosa, complicada por implantes neurogliais no peritônio e na parede da vesícula biliar, originários de um teratoma ovariano maduro. C.A., Urban, L.A.B.D., Lima,R.S. and Bleggi-Torres, L.F
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