Postoperatively, the patient developed a colocutaneous fistula, which was re-excised.
Postoperatively, 1 month later, she reported discharge through port site and fever, suggesting a possible colocutaneous fistula in the anterior abdominal wall.
Though very rare, they may lead to morbidity in the form of septicemia, peritonitis, abscess formation, and nephrocolic or colocutaneous fistula.
3 to 1% of cases) as reported by Skolarikos and de la Rosette,(9) colonic injury may produce dangerous morbidity in the form of septicemia, peritonitis, abscess formation, and nephrocolic or colocutaneous fistula.
4] Untreated colonic perforation may lead to renal abscess, nephrocolic or colocutaneous fistula, peritonitis and sepsis.
In this single patient, the colocutaneous fistula was not healed after 2 weeks despite conservative management.
2004  All possible manifestations secondary to gallstone spillage: Infectious, abscesses -- Liver -- Subhepatic -- Retrohepatic -- Intra-abdominal -- abdominal wall -- Retroperitoneal -- Loin -- Pelvis Cutaneous -- Sinuses -- Granuloma formation -- Colocutaneous fistula
Mechanical -- Instestinal obstruction -- Lodgement in distal hernia sacs -- Dyspareunia -- Tenesmus Migratory -- Chest empyema, cholelithoptysis -- Urinary tract excretion, hematuria Systemic -- Septicaemia Article Estimated complication rate Zehetner et al.
Laparoscopic nephrectomy (hand assisted) for xanthogranulomatous pyelonephritis with colocutaneous fistula
is a challenging treatment modality .
Major complications associated with PEG tubes include such serious issues as necrotising fasciitis, colocutaneous fistula
, intraperitoneal bleeding, bowel perforation, septicaemia, buried bumper syndrome and aspiration pneumonia.
The colocutaneous fistula healed spontaneously within 6 weeks.
A previous case report described a colocutaneous fistula that developed 3 days after the PEG insertion.
A colocutaneous fistula
was suspected clinically, when over several days the discharge became faeculent.