Department of General Surgery, Digestive Disease Hospital, Affiliated Hospital of Zunyi Medical University, Zunyi, Guizhou, China.
J Int Med Res. 2022 Sep;50(9):3000605221121964. doi: 10.1177/03000605221121964.
An extraintestinal fistula is a rare complication after appendectomy. To our knowledge, this study is the first to report a case of sigmoid abdominal wall fistula after appendectomy in a 45-year-old male patient who underwent appendectomy due to acute appendicitis. Purulent discharge was noted at the abdominal wall incision wound for more than 1 year postoperatively. The patient's clinical manifestation, medical history, physical examination, and auxiliary examination all suggested the formation of an abdominal sinus. After exploratory laparotomy at the Digestive Disease Hospital, Affiliated Hospital of Zunyi Medical University, a diagnosis of sigmoid abdominal wall fistula was confirmed, and the fistula was cured after complete fistula resection. The reporting of this rare and atypical case may provide useful reference information for diagnosing and treating future cases of enterocutaneous fistula.
肠外瘘是阑尾切除术后罕见的并发症。据我们所知，本研究首次报道了一例 45 岁男性患者阑尾切除术后发生乙状结肠腹壁瘘的病例，该患者因急性阑尾炎而行阑尾切除术。术后 1 年以上，腹壁切口处出现脓性分泌物。患者的临床表现、病史、体格检查和辅助检查均提示形成窦道。遵义医科大学附属医院消化病医院行剖腹探查术，诊断为乙状结肠腹壁瘘，行瘘管完全切除后治愈。报告这例罕见且非典型病例可能为今后诊治肠外瘘病例提供有益的参考信息。
