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Colo-cutaneous fistula: an unusual complication after hemilaminectomy and microdiscectomy

Isabella Zappala1, Joseph Do Woong Choi1,2, Bishoy Soliman1

  • 1Department of Surgery, Westmead Hospital, Cnr of Hawkesbury and Darcy Roads Westmead, Sydney 2145, Australia.

Journal of Surgical Case Reports
|March 28, 2025
PubMed

Insights

A colo-cutaneous fistula is a rare complication following microdiscectomy surgery. This case highlights an unusual instance of a fistula forming between the colon and a back wound, potentially requiring surgical intervention.

Area of Science:

  • Spinal Surgery
  • Gastroenterology
  • Surgical Complications

Background:

  • Entero-cutaneous fistulae are typically caused by surgical complications.
  • Iatrogenic fistulae, though rare, are associated with increased mortality.
  • Microdiscectomy is a common spinal procedure.

Observation:

  • This report details a rare case of a colo-cutaneous fistula.
  • The fistula formed between the descending colon and a lumbosacral back wound.
  • The patient had a history of microdiscectomy.

Findings:

  • A colo-cutaneous fistula developed as a complication of microdiscectomy.
  • This represents an unusual presentation of iatrogenic fistula formation.
  • The fistula connected the descending colon to the surgical site.

Implications:

  • This case underscores the potential for rare complications following spinal surgery.
  • Early recognition and management are crucial for patient outcomes.
  • Further investigation into preventative strategies may be warranted.
Keywords:
chronic wound infectioncolocutaneous fistulahemicolectomymicrodiscectomy

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