Diverticulitis manifesting as transverse colocutaneous fistula

Abstract

A case of spontaneous colocutaneous fistula arising from the transverse colon is reported and the literature is reviewed.

Spontaneous Colo-Umbilical Fistula Complicating Diverticulitis of the Sigmoid Colon

“…Colovesical fistula is the most common internal fistula (48%) while colocutaneous fistula is relatively rare (5%) with the colo-umbilical type being even rarer. A colocutaneous fistula occurs usually after surgical intervention or percutaneous drainage of a diverticular abscess whilst spontaneous fistulation is uncommon [3–8]. In our patient the fistula probably resulted from perforation of a diverticulum at the umbilicus where the sigmoid colon was adherent following previous attacks of acute diverticulitis thus preventing generalized peritonitis.…”

“…Fistulas occur in approximately 5% of cases either spontaneously or after surgical or drainage procedures [1, 2]. The most common diverticulitis-associated fistulas are colovesical, colovaginal, and enterocolic, whereas colocutaneous fistulation has been only occasionally described [3–8]. We herein report a rare case of a spontaneous colo-umbilical fistula due to diverticulitis of the sigmoid colon.…”

A Delayed Recrudescent Case of Sigmoidocutaneous Fistula due to Diverticulitis

“…A previous study reported that the type of fistulas included colovesical (48%), colovaginal (44%), coloenteric (2%), colotubal (2%), and colocutaneous (4%) fistulas [3]. Colocutaneous fistula occurs almost exclusively as a complication of operation, and spontaneous colocutaneous fistulas are rare [5, 6]. The cause for the fistula fomation of this case was also considered attributable to the previous operation.…”

Εκκολπωματωση Του Παχεος Εντερου Και Διατροφη

“…Τα δερματικά δημιουργούνται κατά κανόνα μετά από επεμβάσεις για εκκολπωματίτιδα στο σημείο της μεταγχειρητικής ουλής β7). Τέλος στη βιβλιογραφία περιγράφονται συρίγγια από εκκολπωματίτιδα, μετα ξύ του παχέος εντέρου και κάθε κοίλου οργάνου της κοιλιάς, αλλά είναι εξαιρετικά σπάνια (ουριθρο-κολικό, ορθο-κολικό, όαλπιγγο-κολικό, κολπο-κολικό κλπ) (98,99).…”