Published: 2022-02-28

A rare presentation of enterocutaneous fistula

Devi Thirunavukkarasu, Sriram Khanna, Shanthi Ponnandai Swaminathan, R. Kannan


Enterocutaneous fistula is an abnormal communication between two epithelialized surfaces, one of which is a hollow viscous organ. It most commonly occurs as a surgical complication. Other causes are trauma, malignancy, inflammatory bowel disease, ischemia. The great majority of enterocutaneous fistula are iatrogenic (75-85%) and rest (15-25%) occur spontaneously. Enterocutaneous fistula is the one of the most challenging conditions managed by General surgeon. The mortality rates vary in different series for patients, with enterocutaneous fistula and remains 5% to 15%.Here we report a rare presentation of enterocutaneous fistula.


Enterocutaneous fistula, Previous surgery, Abscess drainage, Nutritional support, Definitive surgery

Full Text:



Edmunds L, Williams GM, Welch CE. External fistulas arising from the gastrointestinal tract. Ann Surg. 1960;152:445-71.

Joyce M, Dietz W. Management of complex gastrointestinal fistula. Curr Probl Surg. 2009;46(5):384-430.

Owen R, Love TP, Perez SD, Srinivasan JK, Sharma J, Pollock JD et al. Definitive surgical treatment of enterocutaneous fistula. JAMA. 2013;48(2):118-26.

Lynch AC, Delaney CP, Senagore AJ, Connor JT. Clinical outcome and factors predictive of recurrence after enterocutaneous fistula surgery. Ann Surg. 2004;240(5):825-31.

Ruben G. Treatment strategies in 135 consecutive patients with enterocutaneous fistulas. World J Surg. 2008;32:445-53.

Rahbour G, Gabe SM, Ullah MR. Seven-year experience of enterocutaneous fistula with univariate and multivariate analysis of factors associated with healing: development of a validated scoring system. Colorectal Dis. 2013;15(9):1162-70.

Haffejee AA. Surgical management of high output enterocutaneous fistula: a 24-year experience. Curr Opin Clin Nutr Metab Care. 2004;7(3):309-16.

Lloyd DA, Gabe SM, Windsor AC. Nutrition and management of enterocutaneous fistula. Br J Surg. 2006;93(9):1045-55,

Martinez JL, Luque-de-Leon E, Mier J, Blanco-Benav des R, Robledo F. Systematic management of postoperative enterocutaneous fistula;factors related to outcome World J Surg. 2003;323-44.

Lo WD, Evans DC, Yoo T. Computed Tomography measured Psoas density predicts outcomes after enterocutaneous fistula Repair. JPEN J Parenter Enteral Nutr. 2018;42(1);176-85.