A Case Report of the Herniation of the Appendix Through the Abdominal Wall Defect Presenting with Appendico-Cutaneous Fistula

Appendico-Cutaneous Fistula

Authors

  • Pawan Chansaenroj Department of Surgery, Queen Sirikit Hospital, Chonburi 20180, Thailand and Department of Surgery, Somdech Phra Pinklao Hospital, Bangkok 10600, Thailand
  • Arisara Wongtanawat Department of Surgery, Queen Sirikit Hospital, Chonburi 20180, Thailand
  • Kittiya Amornwitthawat Department of Surgery, Queen Sirikit Hospital, Chonburi 20180, Thailand
  • Tawiwat Surojnametakul Department of Surgery, Somdech Phra Pinklao Hospital, Bangkok 10600, Thailand
  • Poon Wongvisavavit Department of Surgery, Somdech Phra Pinklao Hospital, Bangkok 10600, Thailand and Department of Surgery, Thammasat University Hospital, Pathumthani 12120, Thailand

DOI:

https://doi.org/10.31584/psumj.2022252606

Keywords:

appendico-cutaneous fistula, appendix, incisional hernia

Abstract

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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References

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Published

2022-05-19

How to Cite

1.
Chansaenroj P, Wongtanawat A, Amornwitthawat K, Surojnametakul T, Wongvisavavit P. A Case Report of the Herniation of the Appendix Through the Abdominal Wall Defect Presenting with Appendico-Cutaneous Fistula: Appendico-Cutaneous Fistula. PSU Med J [Internet]. 2022 May 19 [cited 2022 Aug. 20];2(2):51-4. Available from: https://he01.tci-thaijo.org/index.php/PSUMJ/article/view/252606

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Section

Short Reports