Appendico-Cutaneous Fistula: Exceptional Complication of Abdominal Drainage



Abstract Views
173

Downloads
281

Citations

Share

##plugins.themes.bootstrap3.article.sidebar##

Submitted Mar 11, 2022
Published Apr 12, 2022
10.24018/ejmed.2022.4.2.1278

Abstract viewed = 173 times

Table of Contents

##plugins.themes.bootstrap3.article.main##

Appendico-cutaneous fistula is a very rare condition. The few cases reported in the literature follow an initial appendicular pathology or an abdominal infectious process including the appendix. We report an exceptional case of appendico-cutaneous fistula as part of a drainage complication of planned abdominal surgery. This was a 6 week old baby who had been operated on for biliary atresia. An abdominal drain was installed at the end of the surgery. Removal of the drain created an orifice centered by a bud. The healing achieved after the use of silver nitrate was short-lived, giving way to spontaneous digestive fistula. Surgical treatment with a perifistulous approach found a normal appendix in the path of the drain with the tip open to the skin. A simple appendectomy gave an excellent result.

Keywords: Appendix, drainage, enterocutaneous fistula

Downloads

Download data is not yet available.

References

  1. Haffejee AA. Surgical management of high output enterocutaneous fistulae : a 24 year experience. Curr Opin Clin Nutr Metab Care. 2004; 7(3): 309-16.
    DOI  |   Google Scholar
  2. Brenner AS, Baldin A, Molteni R, Ramos De Lima RF, Freitas LH, Sartor M et al. Appendico-cutaneous fistula following hysterectomy: first case report. J Coproctol (Rio J). 2017; 37(2) :157-9.
    DOI  |   Google Scholar
  3. Galie KL, Whitlow CB. Postoperative enterocutaneous fistula : when to reoperate and how to succed. Clin Colon Rectal Surg. 2006; 19: 237-46.
    DOI  |   Google Scholar
  4. Hender J, Jansson R, Lindberg B. Appendico-cutaneous fistula. A case report. Acta Chir Scand. 1978; 144(2): 123-4.
     Google Scholar
  5. Chowdhury DAH, Hassan MF, Rahman M, Anwar AB, Khatun S. Spontaneous appendico-cutaneous fistula, after drainage of right loin abcess. A case report. Intern J Surg. 2008; 6: e97-9.
    DOI  |   Google Scholar
  6. Haas GP, Shumaker BP, Haas PA. Appendiculovesical fistula. Urology. 1984; 24(6): 604-9.
    DOI  |   Google Scholar
  7. Muthukumarassamy R, Raman RS, Chandra SS, Jagdish S. Appendico-cutaneous fistula. Indian J Surg. 2005; 67: 323-4.
     Google Scholar
  8. Heyett A. Appendicocutaneous fistula: a hazard of incomplete appendicectomy. Aust N Z J Surg. 1995; 65(2): 144-5.
    DOI  |   Google Scholar
  9. Singal R, Gupta S, Mittal A, Gupta S, Singh M, Dalal AK et al. Appendico-cutaneous fistula presenting as a large wound : a rare phenomenon-brief review. Acta Med Indones. 2012; 44(1): 53-6.
     Google Scholar
  10. Brunagel G, Decker P, Hirner A. Delayed appendico-cutaneous fistula – a rare complication of simple abdominal drainage. Zentralbl Chir. 1996; 121(1): 67-9.
     Google Scholar
  11. Deorah S, Seenu V, Pradeep KK, Sharma S. Spontaneous appendico-cutaneous fistula – a rare complication of acute appendicitis. Trop Gastroenterol. 2005; 26(1): 48-50.
     Google Scholar
  12. Agrawal V, Prasad S. Appendico-cutaneous fistula ; a diagnostic dilemma. Trop Gastroenterol. 2003; 24(2): 87-9.
     Google Scholar
  13. Genier F, Plattner V, Letessier E, Armstrong O, Heloury Y, Le Neel JC. Post-appendicectomy fistula of cecum. Apropos of 22 cases. J Chir (Paris). 1995; 132(10): 393-8.
     Google Scholar
  14. Dumas RP, Moore SA, Sims CA. Enterocutaneous fistula : evidence-based management. Clin Surge. 2017; 2: 1435.
     Google Scholar


Most read articles by the same author(s)