Journal of surgical case reports · 2022
Colocutaneous fistula associated with Crohn's disease following Kugel patch repair for inguinal hernia: a case report.
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
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Sakai Hiroki, Kubota Koji, Yokoyama Takahide, Shimizu Akira, Notake Tsuyoshi, Masuo Hitoshi, Yoshizawa Takahiro, Hosoda Kiyotaka, Hayashi Hikaru, Yasukawa Koya, Umemura Kentaro, Kamachi Atsushi, Goto Takamune, Tomida Hidenori, Yamazaki Shiori, Soejima Yuji
Аннотация
Colocutaneous fistula associated with Crohn's disease after mesh repair for inguinal hernia has not been previously reported in the literature. We report such case in an 83-year-old man following a preperitoneal repair of a left-sided inguinal hernia using Kugel patch. The patient has Crohn's disease in remission status for 4 years. One month after inguinal hernia repair, he presented with fever and left-sided inguinal pain and swelling. Computed tomography revealed abscess formation in the preperitoneal and subcutaneous space of the left-sided inguinal region. Colonoscopy showed local exacerbation of Crohn's disease in the sigmoid colon, and formation of fistula between the sigmoid colon and abdominal wall of the left-sided inguinal region. We performed mesh removal with Hartmann resection following percutaneous abscess drainage. The post-operative course was uneventful, and no sign of recurrence of the hernia was found for 3 years post-operatively.