Traumatic Cholecystocutaneous Fistula

Perforation of the gall bladder into an adjacent viscus, the peritoneal cavity or the abdominal wall incident to cholelithiasis or cholecystitis is well known. It is quite uncommon, however, for fistulae to develop between the gall bladder and the anterior abdominal wall as a result of trauma to the gall bladder without associated injury to adjacent structures. The following report presents the details of an unusual case in which traumatic rupture of the gall bladder resulted in a cholecystocutaneous fistula and deposition of a gallstone which eventually became encysted within the abdominal wall.

REPORT OF A CASE  A 70-year-old white housewife fell down a flight of stairs four months prior to her hospital entry, causing marked contusion of the musculature of the right upper abdomen and a fracture of the right wrist. During the subsequent two weeks, she experienced mild pain in the upper abdomen, which finally localized in the