Colocutaneous fistula following Clostridioides difficile infection managed as an 'autocolostomy': a novel approach to a recognised complication.

Autor:	Ahmed M; General Surgery, The Dudley Group NHS Foundation Trust, Dudley, UK., Randhawa K; Radiology, The Dudley Group NHS Foundation Trust, Dudley, UK., Kawesha A; General Surgery, The Dudley Group NHS Foundation Trust, Dudley, UK., Akingboye AA; General Surgery, The Dudley Group NHS Foundation Trust, Dudley, UK a.akingboye@nhs.net.
Jazyk:	angličtina
Zdroj:	BMJ case reports [BMJ Case Rep] 2021 Apr 16; Vol. 14 (4). Date of Electronic Publication: 2021 Apr 16.
DOI:	10.1136/bcr-2020-238720
Abstrakt:	Colocutaneous fistula is a rare entity in colorectal disease. We present a case of colocutaneous fistula in a patient whose postoperative course following a laparoscopic anterior resection for sigmoid cancer was complicated by Clostridioides difficile colitis. During the follow-up period, it was found that his bowel contents were preferentially discharging through this fistula which had taken up the role of an 'autocolostomy'. Given the physiological impact of an additional surgical procedure, a definitive repair of the fistula was deferred and instead the patient was taught to manage it in keeping with general principles of stoma care. Over the subsequent follow-up period, he has now developed a large parastomal hernia and is being considered for definitive repair. Competing Interests: Competing interests: None declared. (© BMJ Publishing Group Limited 2021. No commercial re-use. See rights and permissions. Published by BMJ.)
Databáze:	MEDLINE
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