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Fecal Fistula Following Appendectomy as an Unusual Late Complication: A Rare Case Report
Fareed Ahmad Nazari1, GhulamYahia Baset1, Saied Karim Zarif1
1Department of Emergency Surgery and Trauma, Kabul University of Medical Science, Ali Abad University Hospital, Kabul, Afghanistan.
Abstract:
Post-appendectomy fecal fistula is a rare complication, but it is associated with significant morbidity. Etiological factors of post-appendectomy fecal fistula formation include severe peri-appendicitis involving the base of the appendix as well as adjoining caecal wall; neoplasia of the appendix and caecum; infective bowel conditions especially intestinal tuberculosis, actinomycosis and Crohn's disease; distal obstruction and gossypiboma. Diagnosis of post-appendectomy fecal fistula is usually made on CT-scan but Fistulography is also useful in the late stages of the disease. Treatment of post-appendectomy fecal fistula includes non-surgical and surgical management options. We present a 20-year-old male patient who presented to the hospital with a longstanding surgical site infection in the scar of a previous appendectomy incision.
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