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HPB (Oxford). 2003;5(3):194-6. doi: 10.1080/13651820310001315.

Omental and extraperitoneal abscesses complicating cholecystocolic fistula.

Author information

1
Belfast City Hospital, Belfast, N Ireland, UK. magedhussien@hotmail.com

Abstract

BACKGROUND:

Acute cholecystitis resolves with conservative treatment in most patients, but empyema or perforation of an ischaemic area may develop, resulting in a pericholecystic abscess, bile peritonitis or a cholecysto-enteric fistula.

CASE OUTLINE:

A 63-year-old man presented with extraperitoneal and omental abscess formation complicating a cholecystocolic fistula secondary to gallbladder disease. Histological examination of the gallbladder and omentum showed xanthogranulomatous inflammation.

CONCLUSION:

A detailed literature review failed to demonstrate a previous report of this combination of rare complications of gallbladder disease.

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