Spontaneous subcutaneous herniation of the gallbladder with both cholecytocutaneous and cholecystoduodenal fistulae

ABSTRACT

Spontaneous biliary fistulae are rare and result commonly from acute suppurative cholecystitis associated with cholelithiasis. This is usually into the duodenum or colon. Biliary fistula between the gallbladder and the skin are rare and extremely rare is simultaneous external and internal biliary fistulae. This is a report of a case of cholelithiasis, subcutaneous herniation of the gallbladder and spontaneous simultaneous cholecystocutaneous and cholecystoduodenal fistula