Spontaneous colocutaneous fistula is extremely rare.
Colocutaneous fistulas are very rare, account for 1%-4% of the total number of fistulas complicating diverticular diseases, and may be caused by percutaneous drainage of diverticular abscesses without subsequent resection (1).
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.
A case of a colocutaneous fistula
: A rare complication of mesh migration into the sigmoid colon after open tension-free hernia repair.
Claus, "A case of a colocutaneous fistula
: a rare complication of mesh migration into the sigmoid colon after open tension-free hernia repair," International Journal of Surgery Case Reports, vol.
Though very rare, they may lead to morbidity in the form of septicemia, peritonitis, abscess formation, and nephrocolic or colocutaneous fistula
. Hence, knowing the position of the retrorenal colon to prevent surgical complications during PCNL and other surgical modalities is a priority.
Colonic perforation is one of the most dangerous and rare complications of PCNL, occurring in about 0.3% of procedures.[sup.4] Untreated colonic perforation may lead to renal abscess, nephrocolic or colocutaneous fistula
, peritonitis and sepsis.[sup.4,5] However, there are few reports on the risk factors and management of colonic injury during PCNL.
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 colocutaneous fistula
was suspected clinically, when over several days the discharge became faeculent.