Dados do Trabalho

Título

Enterocutaneous fistula in incisional hernia: unsual complication

Resumo

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-yearold
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.