Spontaneous enterocutaneous fistula in an infant

Authors

  • GALI DIVYA Atal Bihari Vajpayee Institute of Medical Sciences & Dr. Ram Manohar Lohia Hospital, New Delhi-110001
  • Pinaki R Debnath Atal Bihari Vajpayee Institute of Medical Sciences & Dr. Ram Manohar Lohia Hospital, New Delhi, India
  • Vijay Kumar Kundal Atal Bihari Vajpayee Institute of Medical Sciences & Dr. Ram Manohar Lohia Hospital, New Delhi, India
  • Anil kumar Atal Bihari Vajpayee Institute of Medical Sciences & Dr. Ram Manohar Lohia Hospital, New Delhi, India
  • Arnab Kumar Atal Bihari Vajpayee Institute of Medical Sciences & Dr. Ram Manohar Lohia Hospital, New Delhi, India
  • Amita Sen Atal Bihari Vajpayee Institute of Medical Sciences & Dr. Ram Manohar Lohia Hospital, New Delhi, India

DOI:

https://doi.org/10.46831/jpas.v1i2.64

Keywords:

Enterocutaneous fistula,, Necrotizing fasciitis,, Primary closure

Abstract

Background: Enterocutaneous fistulae (ECF) most commonly occurs following intestinal surgery. Spontaneous ECF is a rare entity in infants. Early presentation to the hospital decreases complications.

Case Presentation: A 2.5-month-old infant developed spontaneous ECF below the umbilicus following abdominal wall erythema and abdominal wall abscess. The bowel mucosa prolapsed out on straining efforts. Work-up was uneventful. At operation, the fistula was mobilized, and intestinal continuity was restored. Postoperative recovery was uneventful.

Conclusion: Spontaneous development of ECF is a rare entity in children. Every effort should be made to identify the etiology before labeling it as spontaneous. 

Keywords: Enterocutaneous fistula, Necrotizing fasciitis, Primary closure.

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Author Biographies

Pinaki R Debnath, Atal Bihari Vajpayee Institute of Medical Sciences & Dr. Ram Manohar Lohia Hospital, New Delhi, India

Dept. of pediatric surgery

Vijay Kumar Kundal, Atal Bihari Vajpayee Institute of Medical Sciences & Dr. Ram Manohar Lohia Hospital, New Delhi, India

Dept. of Paediatric Surgery

Anil kumar, Atal Bihari Vajpayee Institute of Medical Sciences & Dr. Ram Manohar Lohia Hospital, New Delhi, India

Dept. of Paediatric Surgery 

Arnab Kumar, Atal Bihari Vajpayee Institute of Medical Sciences & Dr. Ram Manohar Lohia Hospital, New Delhi, India

Dept. of Paediatric Surgery 

Amita Sen, Atal Bihari Vajpayee Institute of Medical Sciences & Dr. Ram Manohar Lohia Hospital, New Delhi, India

Professor & Head 

Dept. of Paediatric Surgery 

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Published

2021-03-31

How to Cite

1.
DIVYA G, Debnath PR, Kundal VK, kumar A, Kumar A, Sen A. Spontaneous enterocutaneous fistula in an infant. J Pediatr Adolesc Surg [Internet]. 2021Mar.31 [cited 2021May9];1(2). Available from: https://jpedas.org/ojs/index.php/jpedas/article/view/jpas-64
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