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Colocutaneous fistula complicating sigmoid diverticulitis
Alexandros Charalabopoulos1, Evangelos Misiakos1, Anastasios Macheras1
13rd Department of Surgery, University of Athens School of Medicine, Attikon University Hospital, Greece.
International Journal of Surgery Case Reports
|February 24, 2016
Summary
A rare colocutaneous fistula, connecting the colon to the skin, developed after sigmoid diverticulitis. Surgical excision successfully treated this serious complication in an elderly patient.
Area of Science:
- Gastroenterology
- Surgical Gastroenterology
Background:
- Colocutaneous fistula is an exceptionally rare complication of colonic diverticular disease.
- Diverticulitis of the sigmoid colon can lead to severe complications, including fistula formation.
Purpose of the Study:
- To report a case of colocutaneous fistula secondary to sigmoid diverticulitis.
- To highlight the diagnostic and management challenges of this rare condition.
Main Methods:
- Case presentation of an 85-year-old female with a left flank abscess.
- Description of the diagnostic process and surgical intervention.
- Follow-up of the patient's outcome.
Main Results:
- A colocutaneous fistula was established after drainage of a subcutaneous abscess.
- Surgical excision of the sigmoid colon and fistulous tract resulted in complete recovery.
- The patient remained well at 2-year follow-up.
Conclusions:
- Colocutaneous fistula is a serious complication of chronic diverticulitis.
- Surgical excision is the definitive treatment for colocutaneous fistula.
- Prompt diagnosis and surgical management are crucial for favorable outcomes.
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