2020 Volume 40 Issue 3 Pages 473-477
Enterocutaneous fistula is a rare complication that could develop immediately after incisional hernia repair, however, delayed fistula formation may also occur. A 69–year–old woman was admitted to our hospital with abdominal pain. She gave a history of having undergone abdominal incisional hernia repair using a mesh plug 19 years prior to her current presentation. Abdominal computed tomography revealed a soft tissue mass contiguous with the colon in the right lower abdominal wall, and abscess drainage was performed. On contrast radiography performed through the drainage tube, we identified the right–sided colon, the findings suggestive of an enterocutaneous fistula. We performed laparoscopically assisted mesh removal, partial colectomy, and repair of the abdominal defect using simple sutures. She was discharged without postoperative wound infection, and showed no evidence of recurrence until at least 20 months after the surgery.
