Spontaneous enterocutaneous fistula in an infant: A case report
Keywords:Enterocutaneous fistula,, Necrotizing fasciitis,, Primary closure
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.
Campos AC, Andrade DF, Campos GM, Matias JE, Coelho JC. A multivariate model to determine prognostic factors in gastrointestinal fistulas. J Am Coll Surg. 1999; 188: 483-90.
Berry SM, Fischer JE. Classification and pathophysiology of enterocutaneous fistulas. Surg Clin North Am. 1996 Oct; 76(5):1009-18.
Kumar P, Maroju NK, Kate V. Enterocutaneous fistulae: etiology, treatment, and outcome - a study from South India. Saudi J Gastroenterol. 2011 Nov-Dec; 17 (6):391-5.
Raj P, Birua H, Prasad VK. Enteroscrotal fistula in a neonate following incarcerated inguinal hernia. J Neonat Surg. 2017; 6:71.
Ahi KS, Moudgil A, Aggarwal K, Sharma C, Singh K. A rare case of spontaneous inguinal faecal fistula as a complication of incarcerated Richter’s hernia with brief review of literature. BMC surgery. 2015 Dec 1; 15(1):67.
Faridi SH, Siddiqui B, Khan MA, Anees A, Ali SA. Suprapubic fecal fistula due to Richter’s inguinal hernia: a case report and review of literature. Iranian journal of medical sciences. 2013 Jun; 38(2):129.
Chen W, Liu L, Huang H, Jiang M, Zhang T. A case report of spontaneous umbilical enterocutaneous fistula resulting from an incarcerated Richter’s hernia, with a brief literature review. BMC surgery. 2017 Dec; 17(1):1-5.
Amjad AI, Qazi SH, Nazir Z. Enterocutaneous fistulae in children-a management challenge. Journal of the College of Physicians and Surgeons Pakistan. 2008; 18(8):526.
Sharif M, Ijaz L, Iqbal S, Sheikh A. Enteroscrotal fistula: a rare complication of incarcerated inguinal hernia. APSP J Case Rep. 2010 Jul; 1(2):21
Karabulut R, Karakuş C, Hirfanoğlu İ, Turan Ö, Türkyılmaz Z, Sönmez K et al. Treatment of Postoperative Enterocutaneous Fistulas with Octreotide in Two Neonates. Eur J Pediatr Surg. 2008;18(1):56-58.
How to Cite
Copyright (c) 2021 GALI DIVYA, Pinaki R Debnath, Vijay Kumar Kundal, Anil kumar, Arnab Kumar, Amita Sen
This work is licensed under a Creative Commons Attribution 4.0 International License.
You are free to:
- Share — copy and redistribute the material in any medium or format
- Adapt — remix, transform, and build upon the material for any purpose, even commercially.
- Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.