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结肠皮肤瘘:半椎板切除术和显微椎间盘切除术后一种罕见的并发症。

Colo-cutaneous fistula: an unusual complication after hemilaminectomy and microdiscectomy.

作者信息

Zappala Isabella, Choi Joseph Do Woong, Soliman Bishoy, Pathma-Nathan Nimalan

机构信息

Department of Surgery, Westmead Hospital, Cnr of Hawkesbury and Darcy Roads Westmead, Sydney 2145, Australia.

Faculty of Medicine and Health, The University of Sydney, Camperdown NSW 2050, Sydney, Australia.

出版信息

J Surg Case Rep. 2025 Mar 27;2025(3):rjaf167. doi: 10.1093/jscr/rjaf167. eCollection 2025 Mar.

Abstract

Although the current literature points to surgical complication as the most common cause of entero-cutaneous fistulae, the formation of a colo-cutaneous fistula following a microdiscectomy is an unusual complication. Derivation of iatrogenic fistulae is rare, however, can carry increased rates of patient mortality and may require definitive surgical intervention. The authors present a clinical manifestation of a colo-cutaneous fistula between the descending colon and lumbosacral back wound from a previous microdiscectomy.

摘要

尽管当前文献指出手术并发症是肠皮肤瘘最常见的原因,但显微椎间盘切除术后形成结肠皮肤瘘是一种罕见的并发症。医源性瘘的形成很少见,然而,其可导致患者死亡率增加,可能需要确定性的手术干预。作者报告了一例因先前显微椎间盘切除术导致降结肠与腰骶部背部伤口之间形成结肠皮肤瘘的临床表现。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6143/11948990/c195585af82d/rjaf167f1.jpg

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