Laparoscopic Surgical Approach for Cecocutaneous Fistula in a Patient after Open Appendicectomy

Abstract

Appendicectomy is among the most commonly performed emergency surgical procedure worldwide for acute appendicitis. Cecocutaneous fistula post appendicectomy is a rare complication after appendicectomy. Management of enterocutaneous fistula is variable and depends upon fistula output, location, duration of disease, patient factors, etc. Traditional surgical management requires laparotomy with bowel resection and anastomosis. Nowadays laparoscopy has become an alternative and suitable surgical management for complex problems. Here, we report a 43 years old male presented with watery and feculent discharge from a previous appendicectomy scar. Contrast enhanced Computerized Tomography (CT) Scan of abdomen demonstrated a cecocutaneous fistula. The patient was having a low output, matured fistula, and underwent laparoscopic fistula excision with stapler wedge resection of involved bowel.  Histopathological findings of the resected specimen were consistent with chronic inflammatory fistula.