| CASE REPORT |
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| Year : 2009 | Volume
: 15
| Issue : 4 | Page : 261-263 |
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Spontaneous tubercular enterocutaneous fistula developing in the scar of a surgery done 14 years earlier
Onkar Singh, Shilpi Gupta, Sonia Moses, Devendra K Jain
Department of Surgery, MGM Medical College and MY Hospital, Indore, India
Correspondence Address:
Onkar Singh
VPO- Sangowal, Tehsil- Nakodar, Distt.- Jalandhar - 144 041, Punjab
India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/1319-3767.56107
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We report a case of spontaneous tubercular enterocutaneous fistula, which occurred after a long interval of 14 years after an appendicectomy. A 32-year-old male presented with the complaint of fecal matter coming out continuously from an opening present over the scar of previous surgery. The only significant past history was that of appendicectomy done 14 years back for acute appendicitis (nontubercular). Histopathology of tissue taken from the margins of the fistulous opening showed caseating granuloma, consistent with tuberculosis. Treatment was provided successfully in the form of fistulectomy and right hemicolectomy with ileotransverse anastomosis along with a 9-month course of four-drug antitubercular treatment. Regular follow-up for the last 2 years has been uneventful. |
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