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. 2024 Jun 29;14(13):1386.
doi: 10.3390/diagnostics14131386.

Cholecystocutaneous Fistula

Francisco Tustumi  1   2 , Giane Prata da Costa Filha  1 , Guilherme Carvalhal Gnipper Cirillo  1
Affiliations

Cholecystocutaneous Fistula

Francisco Tustumi et al. Diagnostics (Basel). .

Abstract

This image article presents an 88-year-old indigenous woman with a history of several episodes of abdominal pain, for which she went to numerous different hospitals in the countryside, was always treated with analgesics, and then discharged. After a long time, the patient eventually was evaluated with magnetic resonance imaging. The test revealed a displaced gallbladder with thickened walls, multiple stones, and a fistulous tract extending to the skin. This case underscores the significant challenges faced by patients in regions with limited healthcare access, highlighting the impact of delayed diagnosis and inadequate management on patient outcomes.

Keywords: fistula; gallbladder; health inequities; healthcare disparities.

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Conflict of interest statement

The authors declare no conflicts of interest.

Figures

Figure 1
Figure 1
Magnetic resonance imaging shows a caudally displaced gallbladder with numerous stones and with cholecystocutaneous fistula. Left to right: axial, sagittal, coronal, and cholangiography. * Displaced gallbladder; ** stone inside the fistula; *** cholecystocutaneous fistula (indicated by arrow).
See this image and copyright information in PMC

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