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Fecal Fistula Following Appendectomy as an Unusual Late Complication: A Rare Case Report

Year: 2025

Type: article

Abstract: Post-appendectomy fecal fistula is a rare complication, but it is associated with significant morbidity. Etiological factors of post-appendectomy fecal fistula formation include severe peri-appendicitis involving the base of the appendix as well as adjoining caecal wall; neoplasia of the appendix and caecum; infective bowel conditions especially intestinal tuberculosis, actinomycosis and Crohn's disease; distal obstruction and gossypiboma. Diagnosis of post-appendectomy fecal fistula is usually made on CT-scan but Fistulography is also useful in the late stages of the disease. Treatment of post-appendectomy fecal fistula includes non-surgical and surgical management options. We present a 20-year-old male patient who presented to the hospital with a longstanding surgical site infection in the scar of a previous appendectomy incision.

Source: International Medical Case Reports Journal

DOI: 10.2147/imcrj.s518439

Authors: Fareed Ahmad Nazari, GhulamYahia Baset, Saied Zarif, Muhammad Anwar Rahimdeen, Ahmad Amiri, Farukh Seyar

Institutions: Kabul University, Kabul University of Medical Sciences Abu Ali Ibn Sina

Language: English

Topic: Appendicitis Diagnosis and Management

Subfield: Emergency Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $2,320