{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T04:43:45Z","timestamp":1788497025073,"version":"build-2803163510"},"reference-count":14,"publisher":"Oxford University Press (OUP)","issue":"10","license":[{"start":{"date-parts":[[2024,10,4]],"date-time":"2024-10-04T00:00:00Z","timestamp":1728000000000},"content-version":"vor","delay-in-days":3,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,10,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Cholecystocutaneous fistula is an exceedingly rare type of external biliary fistula, where an abnormal connection forms between the gallbladder and the skin. Cholecystocutaneous fistula commonly develops in the setting of chronic calculus cholecystitis or following a previous surgical intervention involving the biliary tract. Patients with cholecystocutaneous fistula often present with systemic symptoms, such as fever, nausea, and vomiting, as well as localized symptoms in the right upper quadrant of the abdomen, where the external opening of the fistula is typically found. Ultrasonography, computed tomography, magnetic resonance imaging, magnetic resonance cholangiopancreatography (MRCP), and fistulograms (computed tomography or X-ray) are commonly used. Computed tomography has proven to be more effective than ultrasonography in delineating the fistulous tract and the associated fluid collections. Open cholecystectomy with excision of the fistulous tract is considered the gold standard and is curative in the majority of cases. However, a laparoscopic approach has become a viable alternative, especially in the hands of experienced surgeons.<\/jats:p>","DOI":"10.1093\/jscr\/rjae617","type":"journal-article","created":{"date-parts":[[2024,10,4]],"date-time":"2024-10-04T15:59:48Z","timestamp":1728057588000},"source":"Crossref","is-referenced-by-count":2,"title":["Cholecystocutaneous fistula after cholecystectomy"],"prefix":"10.1093","volume":"2024","author":[{"given":"Raju","family":"Sah","sequence":"first","affiliation":[{"name":"Surgical Gastroenterology Department, Nepal Mediciti Hospital , Karyabinayak, Lalitpur 44600 ,","place":["Nepal"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0070-369X","authenticated-orcid":false,"given":"Sushil Bahadur","family":"Rawal","sequence":"additional","affiliation":[{"name":"Surgical Gastroenterology Department, Nepal Mediciti Hospital , Karyabinayak, Lalitpur 44600 ,","place":["Nepal"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Srijan","family":"Malla","sequence":"additional","affiliation":[{"name":"Surgical Gastroenterology Department, Nepal Mediciti Hospital , Karyabinayak, Lalitpur 44600 ,","place":["Nepal"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jyoti","family":"Rayamajhi","sequence":"additional","affiliation":[{"name":"Surgical Gastroenterology Department, Nepal Mediciti Hospital , Karyabinayak, Lalitpur 44600 ,","place":["Nepal"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pawan Singh","family":"Bhat","sequence":"additional","affiliation":[{"name":"Surgical Gastroenterology Department, Nepal Mediciti Hospital , Karyabinayak, Lalitpur 44600 ,","place":["Nepal"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2024,10,4]]},"reference":[{"key":"2024100415592192300_ref1","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1155\/2016\/6293538","article-title":"Diagnosis and treatment of biliary fistulas in the laparoscopic era","volume":"2016","author":"Crespi","year":"2016","journal-title":"Gastroenterol Res Pract"},{"key":"2024100415592192300_ref2","doi-asserted-by":"publisher","first-page":"1043","DOI":"10.1097\/00000658-194206000-00016","article-title":"Spontaneous internal biliary fistulae","volume":"115","author":"Puestow","year":"1942","journal-title":"Ann Surg"},{"key":"2024100415592192300_ref3","doi-asserted-by":"publisher","first-page":"375","DOI":"10.1155\/1998\/42791","article-title":"External biliary fistula","volume":"10","author":"Dadoukis","year":"1998","journal-title":"HPB Surg"},{"key":"2024100415592192300_ref4","doi-asserted-by":"publisher","first-page":"279","DOI":"10.1080\/136518201753335584","article-title":"Spontaneous cholecystocutaneous fistula","volume":"3","author":"Flora","year":"2001","journal-title":"Hpb"},{"key":"2024100415592192300_ref5","doi-asserted-by":"publisher","first-page":"180","DOI":"10.1016\/j.amsu.2020.09.035","article-title":"Cholecystocutaneous fistula incidence, etiology, clinical manifestations, diagnosis and treatment. 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