Loading...
Delayed enterocutaneous fistula formation secondary to an inverted non-absorbable suture post midline laparotomy closure
Yershov, Danylo Murphy, P. D. Ferguson, H.
Yershov, Danylo
Murphy, P. D.
Ferguson, H.
Abstract
Introduction: Enterocutaneous fistula is a well recognised complication of intra-abdominal surgery. Postoperatively, it may occur due to a small bowel injury or an anastomotic leak and usually presents within days or weeks after surgery.
Methods: We present a case report. Information was obtained through a retrospective review of the notes, clinic letters, images and the histology report.
Results: We present a case of a patient who developed an enterocutaneous fistula 34 years after panproctocolectomy for ulcerative colitis. Imaging was consistent with an enterocutaneous fistula arising from mid-small bowel. A laparotomy and small bowel resection was performed. The enterocutaneous fistula occurred due to an inverted non-absorbable suture post midline laparotomy closure.
Conclusion: Suture-related enterocutaneous fistula can be a rare delayed complication of a midline laparotomy closure when a knot is inverted intra-peritoneally. Consideration should be given to either leaving a knot in the subcutaneous fat tissue or feeding it between the rectus sheath and the suture bites.
MIDER Authors
Citations
Altmetric:
Date
2020
Type
Report
Subject
Surgery
Collections
Citation
Yershov D, Murphy P, Ferguson H. Delayed enterocutaneous fistula formation secondary to an inverted non-absorbable suture post midline laparotomy closure. Int J Surg Case Rep. 2020;72:402-405. doi: 10.1016/j.ijscr.2020.05.035. Epub 2020 Jun 1.
Journal / Source Title
International Journal of Surgery Case Reports
DOI
10.1016/j.ijscr.2020.05.035
PMID
32563830
Publisher
Elsevier
Publisher’s URL
http://www.ncbi.nlm.nih.gov/pmc/articles/pmc7306508/
Publisher’s statement
Files
Loading...
Main article
Adobe PDF, 1.31 MB