Presentation
Persistent yellow-colored fluid discharge from previous percutaneous cholecystostomy site (removed 10 months ago).
Patient Data
An enhancing tract along the site of previous percutaneous cholecystectomy tube is demonstrated. This wall enhancement extends from the superolateral margin of the gallbladder neck, through diaphramatic slip, subcutaneous tissue and to the overlying skin. The gallbladder demonstrates pericholecystic inflammatory change.
No hyperdense gallstone. No dilatation of intra- and extrahepatic biliary duct
Case Discussion
This is a rare case of cholecystocutaneous fistula as a complication of previous percutaneous cholecystostomy for cholecystitis. The enhancing tract is readily identifiable on CT imaging which can represent inflammatory or infective process.
The patient presented to hospital on multiple occasions with intermittent small volume discharge of yellow colored fluid, which persists at 10 months after removal of cholecystostomy drain. There was no associated erythema, pain nor bowel dysfunction. The patient remains clinically well.
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