Introduction:

spontaneous cholecystocutaneous fistula represents an exceptional presentation of the cholecystitis. It mainly affects elderly and institutionalized patients and has a high morbimortality. It usually manifests as an abscess in the right upper hypochondrium that should be treated by antibiotherapy and percutaneous drainage.

Objective:

the objective of this monographic study is to expose the generalities of this infrequent disease.

Clinical cases:

we report five cases of spontaneous cholecystocuytaneous fistula.

Results:

four of them presented good clinical evolution.

Conclusions:

definitive treatment depends on clinical course and patient’s characteristics, varying among permanent percutaneous drainage or more frequently delayed cholecystectomy with fistulous track excision and reparation of the abdominal wall.