2009
DOI: 10.4103/1319-3767.56107
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Spontaneous tubercular enterocutaneous fistula developing in the scar of a surgery done 14 years earlier

Abstract: We report a case of spontaneous tubercular enterocutaneous fistula, which occurred after a long interval of 14 years after an appendicectomy. A 32-year-old male presented with the complaint of fecal matter coming out continuously from an opening present over the scar of previous surgery. The only significant past history was that of appendicectomy done 14 years back for acute appendicitis (nontubercular). Histopathology of tissue taken from the margins of the fistulous opening showed caseating granuloma, consi… Show more

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Cited by 16 publications
(12 citation statements)
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“…In symptomatic cases recurrent episodes of right iliac fossa pain, vomiting and diarrhea are commonest presentation [4]. Though Spontaneous enterocutaneous fistula over scar of a previous appendicectomy has been reported [5], this is to our knowledge first case presenting primarily as spontaneous enterocutaneous fistula over front of right thigh. Barium studies and CECT can show the actual tract of the fistula and also locate any associated pathology [6].…”
Section: Discussionmentioning
confidence: 76%
“…In symptomatic cases recurrent episodes of right iliac fossa pain, vomiting and diarrhea are commonest presentation [4]. Though Spontaneous enterocutaneous fistula over scar of a previous appendicectomy has been reported [5], this is to our knowledge first case presenting primarily as spontaneous enterocutaneous fistula over front of right thigh. Barium studies and CECT can show the actual tract of the fistula and also locate any associated pathology [6].…”
Section: Discussionmentioning
confidence: 76%
“…Elles constituent une catastrophe majeure en pratique chirurgicale. Mais ces dernières années, la thérapie agressive (hémicolectomie droite) [3,7] et le déve-loppement de l'alimentation parentérale ont permis de réduire la mortalité et la morbidité de ces fistules postopératoires [3].…”
Section: Discussionunclassified
“…Al 5 reported Enterocutaneous fistula over scar of a previous appendicectomy. Response was uneventful after fistulectomy and ATT for nine months.…”
Section: Case Historymentioning
confidence: 99%