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Tubocutaneous fistula. Case report
C Palnaes-Hansen1, S Bülow, J Karlsen
1Department of Surgical Gastroenterology C, University Hospital, Copenhagen, Denmark.
Acta Chirurgica Scandinavica
|July 1, 1987
Summary
A rare tubocutaneous fistula in a Crohn's disease patient discharged only during menstruation. Surgical resection and salpingectomy are recommended treatments for this unusual condition.
Area of Science:
- Gastroenterology and Gynecology
- Surgical Case Reports
Background:
- Crohn's disease is a chronic inflammatory condition that can affect any part of the gastrointestinal tract.
- Tubocutaneous fistulas are abnormal connections between the fallopian tubes and the skin, which are exceedingly rare, especially without a history of reproductive organ surgery.
Observation:
- A 40-year-old woman with Crohn's disease presented with a unique cutaneous fistula.
- The fistula exhibited cyclical discharge exclusively during her menstrual periods.
Findings:
- Surgical exploration confirmed the presence of a tubocutaneous fistula.
- The cyclical discharge correlated with menstruation, a key feature in previously reported cases of tubocutaneous fistulas.
Implications:
- This case highlights an extremely rare presentation of a tubocutaneous fistula associated with Crohn's disease.
- The findings underscore the importance of considering gynecological involvement in complex gastrointestinal cases.
- Surgical resection of the fistula combined with salpingectomy is presented as the definitive treatment approach.