腹股沟疝Kugel补片修补术后并发克罗恩病相关的结肠皮肤瘘：一例报告
Colocutaneous fistula associated with Crohn's disease following Kugel patch repair for inguinal hernia: a case report.
作者信息
Sakai Hiroki, Kubota Koji, Yokoyama Takahide, Shimizu Akira, Notake Tsuyoshi, Masuo Hitoshi, Yoshizawa Takahiro, Hosoda Kiyotaka, Hayashi Hikaru, Yasukawa Koya, Umemura Kentaro, Kamachi Atsushi, Goto Takamune, Tomida Hidenori, Yamazaki Shiori, Soejima Yuji
机构信息
Department of Surgery, Division of Gastroenterological, Hepato-Biliary-Pancreatic, Transplantation and Pediatric Surgery, Shinshu University School of Medicine, Matsumoto, Japan.
Department of Surgery, Shinshu Ueda Medical Center, Ueda, Japan.
出版信息
J Surg Case Rep. 2022 Feb 2;2022(2):rjac005. doi: 10.1093/jscr/rjac005. eCollection 2022 Feb.
Colocutaneous fistula associated with Crohn's disease after mesh repair for inguinal hernia has not been previously reported in the literature. We report such case in an 83-year-old man following a preperitoneal repair of a left-sided inguinal hernia using Kugel patch. The patient has Crohn's disease in remission status for 4 years. One month after inguinal hernia repair, he presented with fever and left-sided inguinal pain and swelling. Computed tomography revealed abscess formation in the preperitoneal and subcutaneous space of the left-sided inguinal region. Colonoscopy showed local exacerbation of Crohn's disease in the sigmoid colon, and formation of fistula between the sigmoid colon and abdominal wall of the left-sided inguinal region. We performed mesh removal with Hartmann resection following percutaneous abscess drainage. The post-operative course was uneventful, and no sign of recurrence of the hernia was found for 3 years post-operatively.
腹股沟疝修补术后并发克罗恩病相关的结肠皮肤瘘，此前文献中未见报道。我们报告了1例83岁男性患者，该患者采用Kugel补片行左侧腹股沟疝腹膜前修补术后出现上述情况。患者克罗恩病处于缓解状态已4年。腹股沟疝修补术后1个月，患者出现发热、左侧腹股沟区疼痛及肿胀。计算机断层扫描显示左侧腹股沟区腹膜前及皮下间隙形成脓肿。结肠镜检查显示乙状结肠克罗恩病局部加重，且乙状结肠与左侧腹股沟区腹壁之间形成瘘管。我们在经皮脓肿引流后行补片取出术及Hartmann切除术。术后病程平稳，术后3年未发现疝复发迹象。
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