Laparoscopic Surgical Approach for Cecocutaneous Fistula in a Patient after Open Appendicectomy
Published: 2021-11-10
Page: 732-737
Issue: 2021 - Volume 4 [Issue 2]
Himanshu Shekhar *
Department of Minimal Access Surgery, Apollo Hospitals, Chennai, India.
Prasanna Kumar Reddy
Department of Minimal Access Surgery and Surgical Gastroenterology, Apollo Hospitals, Chennai, India.
T. G. Balachandar
Department of Surgical Gastroenterology, Apollo Hospitals, Chennai, India.
. Raghavendra
Department of Surgical Gastroenterology, Apollo Hospitals, Chennai, India.
*Author to whom correspondence should be addressed.
Abstract
Appendicectomy is among the most commonly performed emergency surgical procedure worldwide for acute appendicitis. Cecocutaneous fistula post appendicectomy is a rare complication after appendicectomy. Management of enterocutaneous fistula is variable and depends upon fistula output, location, duration of disease, patient factors, etc. Traditional surgical management requires laparotomy with bowel resection and anastomosis. Nowadays laparoscopy has become an alternative and suitable surgical management for complex problems. Here, we report a 43 years old male presented with watery and feculent discharge from a previous appendicectomy scar. Contrast enhanced Computerized Tomography (CT) Scan of abdomen demonstrated a cecocutaneous fistula. The patient was having a low output, matured fistula, and underwent laparoscopic fistula excision with stapler wedge resection of involved bowel.
Histopathological findings of the resected specimen were consistent with chronic inflammatory fistula.
Keywords: Laparoscopic surgery, cecocutaneous fistula, post appendicectomy complications, appendicocutaneous fistula