Colocutaneous fistula between the sigmoid colon and popliteal fossa in diverticular disease

1994 ◽  
Vol 81 (11) ◽  
pp. 1659-1659 ◽  
Author(s):  
E. H. Drabble ◽  
R. A. Greatorex
2013 ◽  
Vol 97 (4) ◽  
pp. 285-287 ◽  
Author(s):  
Patrick Bates Murphy ◽  
Paul Belliveau

Abstract Acquired diverticular disease of the colon is very common in the North American population. Atypical presentations are usually due to complications and rarely the predominant complaint may be related to an associated fistula. Thigh abscesses due to colocutaneous fistula represent an uncommon complication of sigmoid diverticulitis. In rare cases, a thigh abscess may be the only symptom, but gas in the thigh should raise the index of suspicion for bowel pathology. We report the second known case of a left-sided sigmoid diverticulitis leading to an isolated right thigh abscess with no gastrointestinal symptoms.


2018 ◽  
Vol 29 (2) ◽  
pp. 248-249 ◽  
Author(s):  
Cristian Mesina ◽  
Theodor Viorel Dumitrescu ◽  
Firmilian Calota ◽  
Ciobanu Daniela

2016 ◽  
Vol 98 (7) ◽  
pp. e130-e132 ◽  
Author(s):  
N Husnoo ◽  
S Patil ◽  
A Jackson ◽  
M Khan

Colocutaneous fistulae secondary to diverticular disease are rare, especially spontaneous fistulae. We report a case of a 74-year-old lady, with no previous history of diverticular disease, presenting with necrotising fasciitis of the anterior abdominal wall in the left iliac fossa, without any other symptoms. Urgent surgery was performed. An initial diagnostic laparoscopy demonstrated a perforated sigmoid diverticulum forming a fistula to the anterior abdominal wall. Following soft tissue debridement, a sigmoid colectomy was performed through a midline laparotomy. Gastrointestinal pathology should be considered as a potential cause of abdominal wall necrotising fasciitis. Our approach of using laparoscopic visualisation to assess for intra-abdominal sources in this context (in the absence of preoperative imaging when imaging could delay treatment) has not been described before. To our knowledge, only two cases of abdominal wall necrotising fasciitis secondary to diverticular disease with a colocutaneous fistula have been reported in the English literature.


1985 ◽  
Vol 31 (3) ◽  
pp. 196-199 ◽  
Author(s):  
G. Franzin ◽  
A. Fratton ◽  
C. Manfrini

Gut ◽  
1985 ◽  
Vol 26 (3) ◽  
pp. 258-266 ◽  
Author(s):  
J Whiteway ◽  
B C Morson

2010 ◽  
Vol 49 (3) ◽  
pp. 227-230 ◽  
Author(s):  
Yuichi Nakamura ◽  
Hidekazu Kayano ◽  
Tsuneyuki Shimada ◽  
Yoshihiro Ito ◽  
Masami Bessho

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