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A rare spontaneous enterocutaneous fistula
Elroy P Weledji1, Marlene A Puepi2, Alain M Chichom3
1Department of Surgery, Faculty of Health Sciences, University of Buea, Buea, Cameroon elroypat@yahoo.co.uk.
Journal of Surgical Case Reports
|November 14, 2014
Summary
A rare case of a fistulizing Richter
Area of Science:
- Gastroenterology
- General Surgery
Background:
- Groin fistulas can present with varied etiologies.
- Richter's hernia is an uncommon type of abdominal wall hernia.
Observation:
- A 70-year-old woman developed a spontaneous enterocutaneous fistula in the left inguinal region.
- Laparotomy identified a fistulizing Richter's hernia involving the small bowel.
Findings:
- Surgical resection of the affected small bowel segment was performed.
- The femoral hernia was subsequently repaired via an open approach.
Implications:
- This case highlights the importance of considering Richter's hernia in the differential diagnosis of groin fistulas.
- Early recognition and surgical intervention are crucial for managing this rare complication.
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