Authors: M. Králíková; O. Slyvka; R. Birka; B. Kolátorová; L. Ciesar; M. Sedláček Authors‘ workplace: Chirurgické oddělení, Nemocnice Havířov, p. o. Published in: Rozhl. Chir., 2025, roč. 104, č. 11, s. 504-507. Category: Case Report doi: https://doi.org/10.48095/ccrvch2025504
This case study refers to an example of a 79-year-old woman with periumbilical inflammation caused by bilioumbilical fistula. This case presents a very rare form of a direct communication between the gallbladder and skin. The origin is usually based on cholecystolithiasis, cholecystitis, bile duct obstruction or a gallbladder carcinoma. In certain cases it can occur iatrogenically as a result of percutaneous drainage of a hydropic gallbladder in patients considered high-risk for surgical intervention. The clinical picture is dominated by abdominal pain and inflammatory involvement of the abdominal wall mimicking an abscess. The main position in the diagnostic process belongs to CT examination with fistulogram. Firstly, we initiate treatment by using antibiotics, but the final solution is represented by surgical operation. There are still several cases referring to healing up without surgical intervention.
cholecystitis – bilioumbilical fistula – fistulogram
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