What is a Colocutaneous fistula?
What is a Colocutaneous fistula?
A colocutaneous fistula is a rare complication of PEG placement that occurs as a result of the interposition of the colon between the anterior abdominal and gastric walls.
How is a colon fistula diagnosed?
To diagnose a colovesical fistula, the doctor will perform a computed tomography (CT) scan. To confirm the diagnosis, a test called a cystography, which involves inserting a thin, flexible tube with a camera into the bladder, may be performed. The doctor can use this test to determine if there’s a fistula present.
What causes abdominal fistula formation?
Fistulas are usually the result of trauma or surgery, but can also result from infection or inflammation. The digestive system organs in the abdominal cavity include the liver, gallbladder, stomach, small intestine and large intestine.
How can I make my fistula go away?
There are several surgical options to treat fistulas, including:
- A medical plug to close the fistula and allow it to heal.
- A thin surgical cord, called a seton, placed into the fistula to help drain any infection and allow it to heal.
- Opening up the fistula with an incision along its length to allow it to heal.
How serious is a colon fistula?
A person with a gastrointestinal fistula can become very ill and may develop a condition known as sepsis. This is where a person’s body attacks itself as a reaction to a severe infection. Sepsis causes a range of symptoms, such as low blood pressure, high fever, high heart rate, and organ failure.
How do you treat an abdominal fistula?
Treatment
- Antibiotics.
- Immune suppressing medicines if the fistula is a result of Crohn disease.
- Surgery to remove the fistula and part of the intestines if the fistula is not healing.
- Nutrition through a vein while the fistula heals (in some cases)
Can an abdominal fistula heal on its own?
Doctors will treat most fistulas nonsurgically because 70–90 percent of fistulas will close on their own within 5 weeks of treatment. Treatment focuses on keeping you well-nourished and preventing wound infection. Treatments may include: replenishing your fluids.
What is colocutaneous fistula?
Colocutaneous fistula is a very rare complication of colonic diverticular disease. Herein we describe a case with a fistula connecting the sigmoid with the left flank area complicating diverticulitis of the sigmoid colon.
Can appendectomy cause colocutaneous fistula?
Colocutaneous fistula is a rare complication following appendectomy. It also can occur due to diverticulitis, Crohn disease or after colonic surgery. It may coexist with a colovaginal or colovesical fistula. 1 article features images from this case
What is the difference between colovaginal and enteroenteral fistula?
Colovaginal Fistula occurs between the colon and the vagina. Other Fistulas. Enteroenteral Fistula occurs between two parts of the intestine. Enterocutaneous or Colocutaneous Fistula occurs between the small intestine and the skin or the colon and the skin respectively.
What are the treatment options for entero- and colocutaneous fistula?
Surgical management with bowel resection, including the fistula, is the preferred method of treatment. Morbidity has been low and recurrence rate lower than expected. Entero-and colocutaneous fistulae usually occur from a site of active disease. Surgical management with bowel resection, including the fistula, is the preferred method of treatment.
