Cholecystocutaneous fistula, the ultimate complication of abscessed or overlooked acute cholecystitis, is due to perforation of the gallbladder in the abdominal wall. The authors report an unusual case of cholecystoparietal fistula revealed by an epigastric abscess. Fistulography and modern imaging tools make the diagnosis easier. Surgery is the best available treatment.
Keywords: Acute cholecystitis; Biliary fistula; Biliary injury; Cholecystectomy; Cholecystocutaneous fistula; Gallbladder abscess; Ultrasound-guided aspiration.