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Correspondence to Author: Meryam Mesbahi, Haithem Zaafouri, Nizar Khedhiri, Anis Ben Maamer. 

Department of General Surgery, HABIB THAMEUR Hospital, Tunis TUNISIA Faculty of Medicine of Tunis. University of Tunis El Manar, Tunisia.

DOI: 10.52338/tjoi.2025.4693

CLINICAL IMAGE:

An 87-year-old female patient presented to our surgical department with complaints of persistent right upper abdominal pain lasting for three months and an inflammatory subcostal mass on the right side. The patient had a history of acute pancreatitis four months prior. On abdominal examination, a 6 cm abscess was noted in the right subcostal area, accompanied by cellulitis and discharge of bile and gallstones (Figure 1 Panel A and B). Laboratory results showed an elevated white blood cell count of 17000/mm3 and a CRP level of 170mg/dl, while other parameters were within normal limits.

Citation:

Dr. Haithem Zaafouri, Spontaneous Cholecysto-Cutaneous Fistula. The Journal of Imaging 2025.