Enterocutaneous fistula in incisional hernia: unsual complication

Main Article Content

João Kleber de Gentile
https://orcid.org/0000-0001-8650-2703
Ana Carolina Chryssocheri Mauá
Leonardo Lazarini
Melanie de Medeiros Trajdecki
Gabriela Póvoas Pinto Ambar

Abstract

Enterocutaneous fistula is defined as an abnormal communication between the intestinal lumen and the skin usually associated with abdominal surgeries, trauma, Crohn's disease, hernia mesh erosions and diverticulitis. We report a case of 46-year-old male, obese, referred to general surgery for enterocutaneous fistula in hernia sac. He had undergone exploratory laparotomy for gunshot wound to the abdomen 6 years ago where he underwent subtotal colectomy, splenectomy and terminal ileostomy with amputation of the rectal stump. In the current case report, obesity and surgical technique at laparotomy closure (a history of major exploratory laparotomy for gunshot wound) were the risk factors associated with the appearance of the fistula. Moreover, there was presence of midline incisional hernia with small bowel loops inside the hernia sac, which according to the European Commission Hernia Society should be avoided because it facilitates the formation of fistulas.

Article Details

How to Cite
Gentile, J. K. de, Chryssocheri Mauá, A. C., Lazarini, L., Medeiros Trajdecki, M. ., & Pinto Ambar, G. P. (2022). Enterocutaneous fistula in incisional hernia: unsual complication. Brazilian Journal of Case Reports, 2(2), 70–75. https://doi.org/10.52600/2763-583X.bjcr.2022.2.2.70-75
Section
Clinical Case Reports
Author Biographies

João Kleber de Gentile, Faculdade de Medicina da Universidade Cidade de São Paulo (FM-UNICID)

Médico Cirurgião do Aparelho Digestivo. Membro Titular Especialista do Colégio Brasileiro de Cirurgia Digestiva (CBCD). Fellow of American College of Surgeons (FACS). Professor da Disciplina de Técnica Operatória e Habilidades Cirúrgicas da Faculdade de Medicina da Universidade Cidade de São Paulo (FM-UNICID). São Paulo, SP, Brasil.

Ana Carolina Chryssocheri Mauá, Faculdade de Medicina da Universidade Cidade de São Paulo (FM-UNICID)

Discente em Ciências Médicas da Faculdade de Medicina da Universidade Cidade de São Paulo (FM-UNICID). São Paulo, SP, Brasil.

Leonardo Lazarini, Faculdade de Medicina da Universidade Cidade de São Paulo (FM-UNICID)

Discente em Ciências Médicas da Faculdade de Medicina da Universidade Cidade de São Paulo (FM-UNICID). São Paulo, SP, Brasil.

Melanie de Medeiros Trajdecki, Faculdade de Medicina da Universidade Cidade de São Paulo (FM-UNICID)

Discente em Ciências Médicas da Faculdade de Medicina da Universidade Cidade de São Paulo (FM-UNICID). São Paulo, SP, Brasil.

Gabriela Póvoas Pinto Ambar, Faculdade de Medicina da Universidade Cidade de São Paulo (FM-UNICID)

Discente em Ciências Médicas da Faculdade de Medicina da Universidade Cidade de São Paulo (FM-UNICID). São Paulo, SP, Brasil.

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