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A Journal on Surgery

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Chirurgia 2005 April;18(2):85-8

language: Italian

Cecocutaneous fistula sixty years after appendectomy. Case report

Festari S., Sessa G., Zampogna A., Battafarano F., Carriero A.


Postoperative fistulae are a common problem in standard surgical practice, but a cecocutaneous fistula sixty-three years after appendectomy is uncommon and there is no general agreement on how to treat this fistula. A 76 years old man underwent drainage for phlegmon appeared on the surgical scar of an appendectomy performed sixty years before. Few days after this procedure a fecal low out-put fistula appeared on the surgical scar. Fistulography confirmed the clinical diagnosis of fistula, showing the cecocutaneous fistula. The patient underwent surgical exploration with fistula excision. Complete sealing of fistula was achieved. No complications were encountered. No fistula recurrence at a follow-up of 12 months. In conclusion cecocutaneous fistula sixty-three years after appendectomy is uncommon in standard surgical practice; at the moment no treatment is completely accepted in preference to others and in our knowledge, there are very few reports of postappendectomy fistulas of the cecum after remote appendectomy.

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