Enterocutaneous fistula resulting from the drainage of a contained appendiceal perforation secondary to a partially obstructing low-grade appendiceal mucinous neoplasm

被引:0
作者
Cohen, Ryan [1 ,2 ,3 ]
McKean, Katie [3 ]
Chetrit, Stephanie [3 ]
机构
[1] Univ Western Australia, Sch Biomed Sci, Perth, WA, Australia
[2] Univ Notre Dame, Sch Med, Fremantle, WA, Australia
[3] St John God Hlth Care Inc, Colorectal Surg, Perth, WA, Australia
关键词
general surgery; pathology; PSEUDOMYXOMA PERITONEI; CLASSIFICATION;
D O I
10.1136/bcr-2021-244546
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
We report a case of an enterocutaneous fistula resulting from drainage of a contained appendiceal perforation secondary to an obstructing appendiceal mucinous neoplasm. A 66-year-old otherwise healthy female patient proceeded to laparoscopic appendicectomy with resection of the fistula tract. Histopathology demonstrated a mid-appendiceal mucinous neoplasm, with a benign enterocutaneous fistula tract communicating with the distal, non-malignant portion of the appendix. We provide an overview of the literature and highlight the need to consider appendiceal mucinous neoplasm as a differential in the management of spontaneous right iliac fossa collections and fistulae.
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