Kumar Awanish, Pahwa Harvinder Singh, Pandey Anand, Kumar Suresh
Department of Surgery, King George's Medical University, Lucknow, Uttar Pradesh, India.
BMJ Case Rep. 2012 Oct 10;2012:bcr2012006939. doi: 10.1136/bcr-2012-006939.
Spontaneous enterocutaneous fistula is a rare entity. We encountered a case of spontaneous enterocutaneous fistula in the groin region due to femoral hernia. A 60-year-old man presented with spontaneous enterocutaneous fistula in the left groin region without signs of peritonitis. He was kept on conservative treatment, but on third postadmission day, he developed a swelling in his right groin, which became firm and irreducible with signs of intestinal obstruction. On exploratory laparotomy, bilateral femoral hernias were noted with formation of enterocutaneous fistula on the left side. Reduction and repair of hernia was performed. In view of the rarity of this complication, this case is being reported here.
自发性肠皮肤瘘是一种罕见的病症。我们遇到了一例因股疝导致腹股沟区自发性肠皮肤瘘的病例。一名60岁男性,左侧腹股沟区出现自发性肠皮肤瘘,无腹膜炎体征。他接受了保守治疗,但入院后第三天,其右侧腹股沟出现肿胀,变得坚硬且无法回纳,并伴有肠梗阻体征。在剖腹探查时,发现双侧股疝,左侧形成了肠皮肤瘘。进行了疝的还纳和修补。鉴于这种并发症的罕见性,在此报告该病例。