Traumatic primary enterocutaneous fistula: a case report

Kalyani D. Aher; Minakshi Gadahire

doi:10.18203/2320-6012.ijrms20263136

Authors

Kalyani D. Aher Department of General Surgery, Lokmanya Tilak Municipal Medical College and General Hospital, Sion, Mumbai, Maharashtra, India
Minakshi Gadahire Department of General Surgery, Lokmanya Tilak Municipal Medical College and General Hospital, Sion, Mumbai, Maharashtra, India

DOI:

https://doi.org/10.18203/2320-6012.ijrms20263136

Keywords:

Colonic fistula, Enterocutaneous fistula, Intraperitoneal pus collection, Resection and anastomosis

Abstract

Enterocutaneous fistula (ECF) is an abnormal communication between the gastrointestinal tract and the skin. Approximately 80% of ECFs occur as a complication of surgical procedures, while the remaining 20% are associated with trauma, inflammatory bowel disease (such as Crohn’s disease), radiation exposure, or malignancy. In trauma patients without prior abdominal surgery, primary traumatic enterocutaneous fistulas (ECFs) are rare, accounting for less than 1.5% to 5% of all ECF cases. We present a case of a 14-year-old male who developed an enterocutaneous fistula following abdominal trauma caused by a bicycle handle injury. The patient presented with feculent discharge seven days after the incident. Notably, the site of trauma was located on the anterior abdominal wall, whereas the fistula opening was identified posteriorly, corresponding to the exact counterpoint of the injury. The patient had no prior history of any surgical intervention.

References

Cowan KB, Cassaro S. Enterocutaneous Fistula. StatPearls. Treasure Island (FL): StatPearls Publishing; 2023.

Sunday-Adeoye I, Eni UE, Ekwedigwe KC, Isikhuemen ME, Daniyan BC, Yakubu EN, et al. Enterocutaneous Fistula Coexisting with Enterovesical Fistula: A Rare Complication of Ovarian Cystectomy. Afr J Reprod Health. 2019;23(1):139-49.

Mosquera-Klinger G, Torres-Rincón R, Jaime-Carvajal J. Endoscopic closure of gastrointestinal perforations and fistulas using the Ovesco Over-The-Scope Clip system at a tertiary care hospital center. Rev Gastroenterol Mex (Engl Ed). 2019;84(2):263-6.

Chintamani, Badran R, Rk D, Singhal V, Bhatnagar D. Spontaneous Enterocutaneous Fistula 27-years Following Radiotherapy in a Patient of Carcinoma Penis. World J Surg Oncol. 2003;1(1):23.

Singh O, Gupta S, Moses S, Jain DK. Spontaneous Tubercular Enterocutaneous Fistula Developing in the Scar of a Surgery Done 14 Years Earlier. Saudi J Gastroenterol Off J Saudi Gastroenterol Assoc. 2009;15(4):261-3.

Williams LJ, Zolfaghari S, Boushey RP. Complications of enterocutaneous fistulas and their management. Clin Colon Rectal Surg. 2010;23(3):209-20.

Visschers RG, van Gemert WG, Winkens B, Soeters PB, Olde Damink SWM. Guided Treatment Improves Outcome of Patients with Enterocutaneous Fistulas. World J Surg. 2012;36(10):2341-8.

Lynch AC, Delaney CP, Senagore AJ, Connor JT, Remzi FH, Fazio VW. Clinical Outcome and Factors Predictive of Recurrence After Enterocutaneous Fistula Surgery. Ann Surg. 2004;240(5):825-31.

Ross H. Operative Surgery for Enterocutaneous Fistula. Clin Colon Rectal Surg. 2010;23(3):190-4.

IA Filho RA, Pinheiro FI. Digestive fistulas: the challenge continues. Transl Biomed. 2016;7:2.

Lee S-H. Surgical Management of Enterocutaneous Fistula. Korean J Radiol. 2012;13(Suppl 1):S17-20.