Gusain Deepak, Varshney Rahul, Singh Arvind, Koli Jyoti, Gupta Rahul
Gastrointestinal Surgery, Synergy Institute of Medical Sciences, Dehradun, IND.
Anesthesia and Critical Care, Synergy Institute of Medical Sciences, Dehradun, IND.
Cureus. 2024 Feb 1;16(2):e53369. doi: 10.7759/cureus.53369. eCollection 2024 Feb.
A fistulous communication between the appendix and any viscus is rare. Such fistula is most often acquired due to recurrent appendicitis, cystic fibrosis, Crohn's disease, tuberculosis, and malignancy. Here in, we report a rare case of an appendico-ileal fistula incidentally detected during laparotomy for adhesive small bowel obstruction. The fistula was divided, the ileal opening was sutured, and appendectomy was performed. Postoperative recovery was uneventful, with no evidence of malignancy, tuberculosis, or inflammatory bowel disease on the histopathological examination of the appendix.
阑尾与任何脏器之间形成瘘管的情况罕见。这种瘘管最常见的成因是复发性阑尾炎、囊性纤维化、克罗恩病、结核病和恶性肿瘤。在此，我们报告一例罕见的阑尾-回肠瘘，该病例是在因粘连性小肠梗阻行剖腹手术时偶然发现的。将瘘管切断，缝合回肠开口，并进行了阑尾切除术。术后恢复顺利，阑尾组织病理学检查未发现恶性肿瘤、结核病或炎症性肠病的迹象。
