Colocutaneous fistula associated with Crohn's disease following Kugel patch repair for inguinal hernia: a case report

被引：0

作者：

Sakai, Hiroki ^{[1
]}

Kubota, Koji ^{[1
]}

Yokoyama, Takahide ^{[2
]}

Shimizu, Akira ^{[1
]}

Notake, Tsuyoshi ^{[1
]}

Masuo, Hitoshi ^{[1
]}

Yoshizawa, Takahiro ^{[1
]}

Hosoda, Kiyotaka ^{[1
]}

Hayashi, Hikaru ^{[1
]}

Yasukawa, Koya ^{[1
]}

Umemura, Kentaro ^{[1
]}

Kamachi, Atsushi ^{[1
]}

Goto, Takamune ^{[1
]}

Tomida, Hidenori ^{[1
]}

Yamazaki, Shiori ^{[1
]}

Soejima, Yuji ^{[1
]}

机构：

[1] Shinshu Univ, Dept Surg, Div Gastroenterol HepatoBiliary Pancreat Transpla, Sch Med, Asahi 3-1-1, Matsumoto, Nagano 3908621, Japan

[2] Shinshu Ueda Med Ctr, Dept Surg, Ueda, Nagano, Japan

来源：

JOURNAL OF SURGICAL CASE REPORTS | 2022年 / 2022卷 / 02期

关键词：

MESH-PLUG; MIGRATION;

D O I：

10.1093/jscr/rjac005

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

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.

引用

页数：4

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