Appendico-cutaneous fistula following hysterectomy: first case report

Brenner, Antônio Sérgio; Baldin, Antônio; Molteni, Rafaela; Lima, Renata Fróes Ramos de; Freitas, Lígia Heinrichs; Sartor, Maria Cristina; Neves, Emerson Luis

doi:10.1016/j.jcol.2017.01.002

Cited by 3 publications

(5 citation statements)

References 4 publications

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“…In case of digestive fistula, fistulography is very helpful for the treatment decision [3]. Small bowel fistula carries a higher risk of mortality because of the risks of malnutrition, fluid and electrolyte disturbances and sepsis [2], [14]. In our case, the indication for surgery was based on the cecocolic flooding seen on the fistulography.…”

Section: Discussionmentioning

confidence: 89%

“…Sometimes it can occur after drainage of a peri-appendicular abdominal abscess [5] [10]. A case of appendico-cutaneous fistula following an infectious complication of hysterectomy has been reported [2]. To our knowledge, our case is the first case of appendico-cutaneous fistula on a normal appendix without any abdominal infection, as part of a drainage complication of planned surgery.…”

Section: Discussionmentioning

confidence: 97%

“…Enterocutaneous fistula is a potentially catastrophic abdominal postoperative complication. Despite advances in both surgical and medical care, the mortality rate remains high around 10 to 15% or even up to 39% according to some authors [1], [2]. In the majority of cases, it follows a release of a digestive anastomosis.…”

Section: Introductionmentioning

confidence: 99%

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Appendico-Cutaneous Fistula: Exceptional Complication of Abdominal Drainage

Raherison

Ramamonjiharisoa²,

Andriamanarivo³

et al. 2022

EJMED

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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.

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Section: Discussionmentioning

confidence: 89%

Section: Discussionmentioning

confidence: 97%

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Appendico-Cutaneous Fistula: Exceptional Complication of Abdominal Drainage

Raherison

Ramamonjiharisoa²,

Andriamanarivo³

et al. 2022

EJMED

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“…Of the patients with fistulae to the skin, three of these were within Amyand (inguinal) hernias, of which one patient also had a history of Hirschsprung's disease, and another case projected from a De Gangerot (femoral) hernia…”

Section: Resultsmentioning

confidence: 99%

Fistulae involving the appendix: a systematic review of the literature

McDonald

Lee

Dean

et al. 2020

ANZ Journal of Surgery

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Background The appendix has a unique place in surgical history. Although the first ever appendicectomy involved a fistula to the skin, fistulae involving the appendix remain uncommon and can lead to unique surgical considerations. Methods A systematic review of the literature was performed for case reports of appendiceal fistulae. We excluded cases in which the patient had a history of appendicectomy. Cases were categorized by site and aetiology, with information regarding relative frequency and demographics obtained. Results A total of 301 case reports of fistula involving the appendix were found. The most common sites of these fistulae were to the bladder (148 cases), skin (40 cases), vasculature (19 cases), umbilicus (16 cases) and to the gastrointestinal tract. The most common aetiology in sub‐analysis was appendicitis alone (150 cases), with less common causes including appendiceal adenocarcinoma (32 cases) and congenital abnormalities (18 cases). There were significantly more appendiceal fistulae in males than in females, with a ratio of 1.7:1. In patients with appendiceal adenocarcinoma as a cause for fistula, there were significantly more females than males with a ratio of 2.3:1. Conclusion In conducting a systematic review of case reports of fistulae involving the appendix, we identified 301 unique case reports, with a range of different sites and aetiologies.

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“…Reported appendiceal pathologies leading to appendiceal fistula include acute appendicitis, periappendiceal abscess, incomplete appendicectomy, malignancy (mucinous adenocarcinoma), goblet cell carcinoid, isolated Crohn's disease, appendiceal diverticulitis, papillovillous adenoma, and neuroma . Reports of adjacent pathologies leading to appendiceal fistula include malignancy (cervical squamous cell carcinoma); sigmoid diverticulitis; Hirschsprung's disease; cystic fibrosis; abdominal aortic aneurysm (primary and secondary to repair); arterial reconstruction; and recent or previous surgery (trauma laparotomy, hysterectomy, transurethral resection of prostate, transurethral resection of bladder tumor with Mitomycin C, right inguinal hernia repair, and right groin hernia repair with propylene plug).…”

Section: Introductionmentioning

confidence: 99%