Rosado MMÁ, Sánchez VJA, De La Rosa JJA

Language: Spanish
References: 11
Page: 115-118
PDF size: 179.19 Kb.

ABSTRACT

Introduction: Fistula is an abnormal passageway between two epithelium organs in the body that normally do not connect or between an organ and the exterior of the body. Spontaneous colo-umbilical fistulas secondary to non-complicated diverticular disease are rare. The aim of this paper is to report the second case of spontaneous colo-umbilical fistula. Case report: The following case report describes the development of a colo-umbilical fistula in a 56-year-old male patient that manifested with the outflow of intestinal material through the umbilical scar; once colonoscopy was completed, it showed non complicated diverticular disease. The patient did not show any symptoms; therefore, an exploratory laparotomy was performed, finding sigmoid colon communication to the umbilical scar. Results: We performed a sigmoidectomy with transverse-recto anastomosis; the patient recovered properly and left the surgery service three days after the surgical procedure. Discussion: There are different causes of fistula; one of them is diverticular disease, followed by others like inflammatory bowel disease —in particular, Crohn disease— and injury to the urinary tract. Conclusion: The most common cause of fistulas in Mexico is complicated diverticular disease or diverticulitis. The first case report of colo-umbilical fistula was reported in 1993. This is the second case reported.

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