{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T17:25:51Z","timestamp":1788456351628,"version":"build-2803163510"},"reference-count":7,"publisher":"Oxford University Press (OUP)","issue":"9","license":[{"start":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T00:00:00Z","timestamp":1788393600000},"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":[[2026,8,31]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Cholecystocutaneous fistula (CCF) is a rare complication of gallbladder disease, in which an epithelialized tract forms between the gallbladder and skin. Its incidence has fallen with modern imaging, antibiotics and early cholecystectomy; an increasingly recognised cause is percutaneous gallbladder drainage. Definitive treatment is cholecystectomy with en bloc tract excision, but management of high-risk patients is poorly defined. We report a CCF arising 8 months after image-guided percutaneous drainage of a pericholecystic abscess in a 91-year-old nursing home resident with multiple comorbidities. Given high operative and anaesthetic risk, the fistula was managed conservatively with a stoma appliance and multidisciplinary support. At 3 months she remained well, with a matured, intermittently draining fistula and spontaneous gallstone extrusion. To our knowledge this is the first iatrogenic CCF reported in a nonagenarian, and the first with serial photographic documentation of its evolution, supporting conservative containment as a safe, patient-centred alternative to surgery.<\/jats:p>","DOI":"10.1093\/jscr\/rjag799","type":"journal-article","created":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T11:44:28Z","timestamp":1787312668000},"source":"Crossref","is-referenced-by-count":0,"title":["Cholecystocutaneous fistula complicating percutaneous drainage of a pericholecystic abscess, managed conservatively"],"prefix":"10.1093","volume":"2026","author":[{"given":"Joshua J","family":"Huggett","sequence":"first","affiliation":[{"name":"Department of General Surgery, North Cheshire and Mersey NHS Foundation Trust , Warrington WA5 1QG ,","place":["United Kingdom"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chinedum","family":"Anosike","sequence":"additional","affiliation":[{"name":"Department of Radiology, North Cheshire and Mersey NHS Foundation Trust , Warrington WA5 1QG ,","place":["United Kingdom"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frances E","family":"Oldfield","sequence":"additional","affiliation":[{"name":"Department of General Surgery, North Cheshire and Mersey NHS Foundation Trust , Warrington WA5 1QG ,","place":["United Kingdom"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Noaman","family":"Sarfraz","sequence":"additional","affiliation":[{"name":"Department of General Surgery, North Cheshire and Mersey NHS Foundation Trust , Warrington WA5 1QG ,","place":["United Kingdom"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,9,3]]},"reference":[{"key":"2026090312540360500_ref1","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. A literature review","volume":"59","author":"Brimo Alsaman","year":"2020","journal-title":"Ann Med Surg"},{"key":"2026090312540360500_ref2","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":"2026090312540360500_ref3","doi-asserted-by":"publisher","first-page":"rjae617","DOI":"10.1093\/jscr\/rjae617","article-title":"Cholecystocutaneous fistula after cholecystectomy","volume":"2024","author":"Sah","year":"2024","journal-title":"J Surg Case Rep"},{"key":"2026090312540360500_ref4","doi-asserted-by":"publisher","first-page":"119","DOI":"10.1159\/000362360","article-title":"Cholecystocutaneous fistula after percutaneous gallbladder drainage","volume":"8","author":"Pripotnev","year":"2014","journal-title":"Case Rep Gastroenterol"},{"key":"2026090312540360500_ref5","doi-asserted-by":"publisher","first-page":"e1","DOI":"10.1308\/rcsann.2017.0015","article-title":"Spontaneous extrusion of gallstones after percutaneous drainage","volume":"99","author":"Hariharan","year":"2017","journal-title":"Ann R Coll Surg Engl"},{"key":"2026090312540360500_ref6","doi-asserted-by":"publisher","first-page":"rjad477","DOI":"10.1093\/jscr\/rjad477","article-title":"Cholecystostoma: unusual evolution of a cholecystocutaneous fistula following percutaneous incision and drainage of perforated cholecystitis","volume":"2023","author":"Naim","year":"2023","journal-title":"J Surg Case Rep"},{"key":"2026090312540360500_ref7","doi-asserted-by":"publisher","first-page":"e234191","DOI":"10.1136\/bcr-2019-234191","article-title":"Mistaken identity: an unexpected case of spontaneous cholecystocutaneous fistula formation","volume":"14","author":"Shariatmadari","year":"2021","journal-title":"BMJ Case Rep"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/9\/rjag799\/70947139\/rjag799.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/9\/rjag799\/70947139\/rjag799.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T16:54:10Z","timestamp":1788454450000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjag799\/8784992"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,31]]},"references-count":7,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2026,8,31]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjag799","relation":{},"ISSN":["2042-8812"],"issn-type":[{"value":"2042-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,9]]},"published":{"date-parts":[[2026,8,31]]},"article-number":"rjag799"}}