AI Article Synopsis
- Colocutaneous fistula is a rare complication in patients with colorectal issues, and this case involves a patient who developed one after laparoscopic surgery for sigmoid cancer.
- Despite the presence of the fistula, which acted like an "autocolostomy" allowing bowel contents to escape, doctors chose to delay surgical repair due to potential complications.
- The patient learned to manage the fistula using stoma care techniques, but later developed a large parastomal hernia, leading to considerations for definitive surgical repair.
Article Abstract
Colocutaneous fistula is a rare entity in colorectal disease. We present a case of colocutaneous fistula in a patient whose postoperative course following a laparoscopic anterior resection for sigmoid cancer was complicated by colitis. During the follow-up period, it was found that his bowel contents were preferentially discharging through this fistula which had taken up the role of an 'autocolostomy'. Given the physiological impact of an additional surgical procedure, a definitive repair of the fistula was deferred and instead the patient was taught to manage it in keeping with general principles of stoma care. Over the subsequent follow-up period, he has now developed a large parastomal hernia and is being considered for definitive repair.
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|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8055111 | PMC |
| http://dx.doi.org/10.1136/bcr-2020-238720 | DOI Listing |
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