<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0034-7493</journal-id>
<journal-title><![CDATA[Revista Cubana de Cirugía]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Cubana Cir]]></abbrev-journal-title>
<issn>0034-7493</issn>
<publisher>
<publisher-name><![CDATA[Editorial Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0034-74932022000400013</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Fístula colecistocutánea espontánea]]></article-title>
<article-title xml:lang="en"><![CDATA[Spontaneous Cholecystocutaneous Fistula]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Jiménez García]]></surname>
<given-names><![CDATA[Yusleidy]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Correa Martínez]]></surname>
<given-names><![CDATA[Luisbel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gámez Blanco]]></surname>
<given-names><![CDATA[Diana Ivis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Francés Angueira]]></surname>
<given-names><![CDATA[Letty]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Ciencias Médicas de Pinar del Río Hospital General Docente &#8220;Abel Santamaría Cuadrado&#8221; ]]></institution>
<addr-line><![CDATA[ Pinar del Río]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2022</year>
</pub-date>
<volume>61</volume>
<numero>4</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S0034-74932022000400013&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S0034-74932022000400013&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S0034-74932022000400013&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  La incidencia de fístula colecistocutánea ha disminuido debido al abordaje quirúrgico precoz de los pacientes con litiasis vesicular.  Objetivo: Presentar un caso de fístula colecistocutánea secundaria a colecistopatía litiásica crónica.  Caso clínico: Paciente femenina de 87 años de edad que fue atendida en los servicios de urgencia de cirugía luego de haber sufrido, 2 semanas antes, dolor en hipocondrio derecho acompañado de aumento de volumen progresivo de dicha región. Al examen físico se constató secreción espontánea de bilis oscura de carácter continuo por orificio fistuloso. Se decide llevar al salón de operaciones y se le realizó colecistectomía de cuello a fondo y colangiografía transcística visualizándose litos. Se procedió a realizar coledocotomía, extracción de cálculos con lavado de la vía biliar y se colocó sonda en T. La evolución fue satisfactoria.  Conclusiones:  El tratamiento combinado de cirugía y antibioterapia es curativo.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  The incidence of cholecystocutaneous fistula has decreased due to the early surgical managment of patients with vesicular lithiasis.  Objective:  To present a case of cholecystocutaneous fistula secondary to chronic lithiasic cholecystopathy.  Clinical case:  An 87-year-old female patient was attended in the emergency surgical services after having suffered, two weeks earlier, pain in the right hypochondrium accompanied by progressive increase in volume in that region. Physical examination revealed spontaneous discharge of dark bile continuously through a fistulous orifice. The patient was decided to be taken to the operating room, where she was performed a profound infundibulum cholecystectomy and transcystic cholangiography, lithiasis being visualized. The next considered step was choledochotomy for stone extraction with bile duct lavage, and a T-tube was placed. Evolution was satisfactory.  Conclusions:  The treatment combining surgery and antibiotic therapy is curative.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[fístula colecistocutánea]]></kwd>
<kwd lng="es"><![CDATA[colecistectomía]]></kwd>
<kwd lng="es"><![CDATA[perforación]]></kwd>
<kwd lng="en"><![CDATA[cholecystocutaneous fistula]]></kwd>
<kwd lng="en"><![CDATA[cholecystectomy]]></kwd>
<kwd lng="en"><![CDATA[perforation]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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