Postoperatively, the patient developed a colocutaneous
fistula, which was re-excised.
A case of a colocutaneous
fistula: A rare complication of mesh migration into the sigmoid colon after open tension-free hernia repair.
Though very rare, they may lead to morbidity in the form of septicemia, peritonitis, abscess formation, and nephrocolic or colocutaneous
4] Untreated colonic perforation may lead to renal abscess, nephrocolic or colocutaneous
fistula, peritonitis and sepsis.
Those complications are multiple and widespread; they include abdominal wall abscess , broncholithiasis [15-19], lung abscess, empyema , erosion to the back , subdiaphragmatic abscess , liver abscess , splenic abscess, retroperitoneal abscess , peritonitis , granulomatous peritonitis, intestinal obstruction , thrombosis, colocutaneous
fistula , malignancy, dyspareunia, and infertility [30, 31], bladder obstruction, incarcerated hernia , cellulitis , and septicemia .
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.
Two of 4 enterovesical fistulae completely responded and 2 partially responded; 1 of 3 colocutaneous
fistulae had a complete response and 2 did not respond (Table 3).
Enteral nutrition is beneficial with low-output fistulas and fistulas located in the most proximal portion of the small bowel (feeding provided distally), or with colocutaneous
fistula healed spontaneously within 6 weeks.
Other common encountered complication were fistula formation, which occurs across a broad spectrum, ranging from fistulas of the skin or umbilicus to colocutaneous
or colovesical fistulas.