El-Daly Ibraheim, Natarajan Brenavan, Rajakulendran Karthig, Symons Sean
Department of Trauma and Orthopaedic Surgery, Basildon and Thurrock University Hospital, Basildon, Essex, UK
Department of Trauma and Orthopaedic Surgery, Basildon and Thurrock University Hospital, Basildon, Essex, UK.
J Surg Case Rep. 2014 May 15;2014(5):rju043. doi: 10.1093/jscr/rju043.
Colo-articular fistulas are rare complications that are usually associated with inflammatory, infective or malignant bowel disease. We report the case of a 44-year-old male who was found to have a colo-articular fistula intra-operatively during the washout of a septic hip joint. The patient had no pre-existing bowel disease, but was an intravenous drug user, who had previously undergone a Girdlestone procedure for osteomyelitis of the proximal femur. The patient was managed through a multi-disciplinary team approach with subsequent debridement and formation of a transverse loop colostomy to control the faeculent fistulous discharge.
结肠关节瘘是一种罕见的并发症，通常与炎症性、感染性或恶性肠道疾病有关。我们报告一例44岁男性病例，该患者在冲洗感染性髋关节时术中发现患有结肠关节瘘。患者既往无肠道疾病，但为静脉吸毒者，此前因股骨近端骨髓炎接受了关节切除成形术。该患者通过多学科团队方法进行治疗，随后进行清创并形成横袢结肠造口术以控制粪便性瘘管排出。
