Department of Surgery, MGM Medical College and MY Hospital, Indore, India.
Saudi J Gastroenterol. 2009 Oct-Dec;15(4):261-3. doi: 10.4103/1319-3767.56107.
We report a case of spontaneous tubercular enterocutaneous fistula, which occurred after a long interval of 14 years after an appendicectomy. A 32-year-old male presented with the complaint of fecal matter coming out continuously from an opening present over the scar of previous surgery. The only significant past history was that of appendicectomy done 14 years back for acute appendicitis (nontubercular). Histopathology of tissue taken from the margins of the fistulous opening showed caseating granuloma, consistent with tuberculosis. Treatment was provided successfully in the form of fistulectomy and right hemicolectomy with ileotransverse anastomosis along with a 9-month course of four-drug antitubercular treatment. Regular follow-up for the last 2 years has been uneventful.
我们报告了一例阑尾切除术后 14 年发生的自发性肠结核肠皮肤瘘。一名 32 岁男性因先前手术疤痕处有一开口不断排出粪便而就诊。唯一的重要既往病史是 14 年前因急性阑尾炎（非结核）行阑尾切除术。从瘘口边缘取的组织的组织病理学检查显示干酪样肉芽肿，符合结核病。通过瘘管切除术和右半结肠切除术以及 9 个月的四联抗结核治疗成功进行了治疗。在过去的 2 年中进行了定期随访，没有出现任何问题。
