Spontaneous enterocutaneous fistula in a patient with femoral hernia: a case report.

Case report [MeSH] Enterocutaneous fistula Femoral hernia Incarcerated hernia Spontaneous fistula

Journal

BMC surgery
ISSN: 1471-2482
Titre abrégé: BMC Surg
Pays: England
ID NLM: 100968567

Informations de publication

Date de publication:
25 Dec 2021
Historique:
received: 01 10 2021
accepted: 18 12 2021
entrez: 26 12 2021
pubmed: 27 12 2021
medline: 29 12 2021
Statut: epublish

Résumé

Enterocutaneous fistula commonly occurs in the post-operative setting. However, a handful of cases have been reported to occur secondary to strangulation of hernia, mostly femoral due to the narrow femoral ring through which this type of hernia passes through. We encountered a case of spontaneous fecal fistula, which occurred in the setting of an incarcerated femoral hernia. The patient did not develop peritonism, or obstruction, throughout the course of the disease. The hernia ruptured on day 7 of incarceration. Exploratory laparotomy under epidural anesthesia revealed a femoral hernia with ileum as content, arising approximately 20 cm from the ileocecal junction. Reduction of the contents was done, and a resection performed along with repair of the hernia. As very few literature describe the formation of spontaneous fecal fistula, we discuss the presentation in this report.

Sections du résumé

BACKGROUND BACKGROUND
Enterocutaneous fistula commonly occurs in the post-operative setting. However, a handful of cases have been reported to occur secondary to strangulation of hernia, mostly femoral due to the narrow femoral ring through which this type of hernia passes through.
CASE PRESENTATION METHODS
We encountered a case of spontaneous fecal fistula, which occurred in the setting of an incarcerated femoral hernia. The patient did not develop peritonism, or obstruction, throughout the course of the disease. The hernia ruptured on day 7 of incarceration. Exploratory laparotomy under epidural anesthesia revealed a femoral hernia with ileum as content, arising approximately 20 cm from the ileocecal junction. Reduction of the contents was done, and a resection performed along with repair of the hernia.
CONCLUSION CONCLUSIONS
As very few literature describe the formation of spontaneous fecal fistula, we discuss the presentation in this report.

Identifiants

pubmed: 34953486
doi: 10.1186/s12893-021-01439-1
pii: 10.1186/s12893-021-01439-1
pmc: PMC8709986
doi:

Types de publication

Case Reports Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

435

Informations de copyright

© 2021. The Author(s).

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Auteurs

Anup Chalise (A)

Nepal Medical College and Teaching Hospital, Attarkhel, Kathmandu, Nepal. anup.chalise1346@gmail.com.

Ashish Prasad Rajbhandari (AP)

Nepal Medical College and Teaching Hospital, Attarkhel, Kathmandu, Nepal.

Lok Bahadur Kathayat (LB)

Nepal Medical College and Teaching Hospital, Attarkhel, Kathmandu, Nepal.

Rabin Koirala (R)

Nepal Medical College and Teaching Hospital, Attarkhel, Kathmandu, Nepal.

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Classifications MeSH