Published in:
Open Access 01-12-2021 | Femoral Hernia | Case report
Spontaneous enterocutaneous fistula in a patient with femoral hernia: a case report
Published in: BMC Surgery | Issue 1/2021
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Background
Enterocutaneous fistula commonly occurs in the post-operative setting. However, a handful of cases have been reported to occur secondary to strangulation of hernia, mostly femoral due to the narrow femoral ring through which this type of hernia passes through.
Case presentation
We encountered a case of spontaneous fecal fistula, which occurred in the setting of an incarcerated femoral hernia. The patient did not develop peritonism, or obstruction, throughout the course of the disease. The hernia ruptured on day 7 of incarceration. Exploratory laparotomy under epidural anesthesia revealed a femoral hernia with ileum as content, arising approximately 20 cm from the
ileocecal junction. Reduction of the contents was done, and a resection performed along with repair of the hernia.
Conclusion
As very few literature describe the formation of spontaneous fecal fistula, we discuss the presentation in this report.