Colo-cutaneous fistula

Case contributed by Dr Mostafa Mahmoud El Feky

Presentation

Patient with a history of operated perforated appendicitis three months ago.

Patient Data

Age: 30
Gender: Male
CT

CT enterocolonography and fistulography

Following positive contrast administration through the parietal opening at the appendectomy scar: A branching fistulous track is seen extending intra-abdominal to the reach the cecum which is opacified with contrast. Minimal peri-caecal fat stranding.

No current intra-abdominal fluid collections detected.

Case Discussion

The patient performed surgery for perforated appendicitis scince three months and since then there is a surgical scar opening with foul smelling discharge. Colocutaneous fistula is a rare complication following appendectomy. It also can occur due to diverticulitis, Crohn's disease or after colonic surgery. It also may coexist with a colovaginal or colovesical fistula.

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Case information

rID: 56401
Case created: 30th Oct 2017
Last edited: 7th Nov 2017
Inclusion in quiz mode: Included
Institution: DAR ELASHAA center

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