A Case Report of the Herniation of the Appendix Through the Abdominal Wall Defect Presenting with Appendico-Cutaneous Fistula
Keywords:appendico-cutaneous fistula, appendix, incisional hernia
Objective: To report a case of the herniation of appendix through the abdominal wall defect presented with appendico-cutaneous fistula.
Material and Methods: This study was designed as a retrospective chart review using patient’s clinical data, imaging, endoscopic report, and treatment review.
Results: A 70-year-old male patient with a surgical history of small bowel resection due to small bowel intussusception 60 years ago presented with purulent discharge oozing from his surgical scar for two months. The diagnosis of appendico-cutaneous fistula was made by abdominal computer tomography scan and colonoscopy. The laparoscopic assisted open approach for appendectomy and abdominal wall repair was performed successfully.
Conclusion: The herniation of the appendix through the abdominal wall defect is uncommon. Very few cases have been reported. We presented a successful treatment of a patient who presented with appendico-cutaneous fistula from appendiceal herniation via incisional hernia.
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