Spontaneous Enterocutaneous Fistula: An Uncommon Clinical Condition: A Case Report

Abstract

Spontaneous enterocutaneous fistulas are a rare complication, defined by an abnormal communication between the digestive tract and the skin surface giving rise to the exteriorization of digestive fluid through the newly formed fistula path. The diagnosis is easily raised. Spontaneous enterocutaneous fistulas are diagnosed by a flow of digestive material or fluid from the abdominal wall, scar or drainage hole. This flow, which makes the diagnosis clinically obvious, is sometimes preceded by the formation of a local inflammatory patch around the skin opening. Our work concerns a patient admitted to the visceral surgical department of the university hospital Ibn Rochd of Casablanca for a spontaneous enterocutaneous fistula. The abdomino-pelvic CT scan objectified a deep intra-abdominal collection and a fistula pathway. The patient was then operated after conditioning. The postoperative follow-up was simple.