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[Sigmoido-buttock fistula by diverticulitis: report of a rare complication].
Cir Cir. 2013 Mar-Apr; 81(2):158-62.CC

Abstract

INTRODUCTION

The complicated diverticulitis of the colon is characterized by its association with abscesses, bleeding, stenosis, perforation, obstruction or fistula. We report a case of spontaneous sigmoido-cutaneous fistula from diverticulitis to an unusual place in the gluteal region.

CLINICAL CASE

A 59-year-old male patient presented an inflammatory wound in left buttock without response to the conservative medical treatment. The fistulography, colonoscopy, barium enema and computed tomography showed a sigmoido-cutaneous fistula to the left buttock from diverticulitis. The biopsy of the lesion ruled out malignancy. We performed an elective sigmoid resection with primary colorectal anastomosis, partial fistulectomy and injection of a fibrin sealant in the residual tract.

DISCUSSION

The colon-cutaneous fistulas from diverticulitis are relatively rare. We report a spontaneous fistula with origin in a single diverticulum in the sigmoid colon and that drained through the piriform fossa of the pelvic floor to the skin of the left buttock.

CONCLUSIONS

A high index of suspiscion is necessary to not confuse the colo-buttock fistula with local abscesses.

Authors+Show Affiliations

Departamento de Cirugía General, Hospital Regional "Dr. Valentín Gómez Farías," Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado, Zapopan, Jalisco, México. gevaristo5@yahoo.com.mxNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
English Abstract
Journal Article

Language

spa

PubMed ID

23522319

Citation

Evaristo-Méndez, Gerardo, et al. "[Sigmoido-buttock Fistula By Diverticulitis: Report of a Rare Complication]." Cirugia Y Cirujanos, vol. 81, no. 2, 2013, pp. 158-62.
Evaristo-Méndez G, Sánchez-Hernández AT, Melo-Velázquez A, et al. [Sigmoido-buttock fistula by diverticulitis: report of a rare complication]. Cir Cir. 2013;81(2):158-62.
Evaristo-Méndez, G., Sánchez-Hernández, A. T., Melo-Velázquez, A., Ventura-Sauceda, F. A., & Sepúlveda-Castro, R. R. (2013). [Sigmoido-buttock fistula by diverticulitis: report of a rare complication]. Cirugia Y Cirujanos, 81(2), 158-62.
Evaristo-Méndez G, et al. [Sigmoido-buttock Fistula By Diverticulitis: Report of a Rare Complication]. Cir Cir. 2013 Mar-Apr;81(2):158-62. PubMed PMID: 23522319.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Sigmoido-buttock fistula by diverticulitis: report of a rare complication]. AU - Evaristo-Méndez,Gerardo, AU - Sánchez-Hernández,Alma Teresa, AU - Melo-Velázquez,Armando, AU - Ventura-Sauceda,Félix Antonio, AU - Sepúlveda-Castro,Rogelio Ricardo, PY - 2013/3/26/entrez PY - 2013/3/26/pubmed PY - 2013/9/17/medline KW - colo-cutaneous fistula KW - diverticulitis SP - 158 EP - 62 JF - Cirugia y cirujanos JO - Cir Cir VL - 81 IS - 2 N2 - INTRODUCTION: The complicated diverticulitis of the colon is characterized by its association with abscesses, bleeding, stenosis, perforation, obstruction or fistula. We report a case of spontaneous sigmoido-cutaneous fistula from diverticulitis to an unusual place in the gluteal region. CLINICAL CASE: A 59-year-old male patient presented an inflammatory wound in left buttock without response to the conservative medical treatment. The fistulography, colonoscopy, barium enema and computed tomography showed a sigmoido-cutaneous fistula to the left buttock from diverticulitis. The biopsy of the lesion ruled out malignancy. We performed an elective sigmoid resection with primary colorectal anastomosis, partial fistulectomy and injection of a fibrin sealant in the residual tract. DISCUSSION: The colon-cutaneous fistulas from diverticulitis are relatively rare. We report a spontaneous fistula with origin in a single diverticulum in the sigmoid colon and that drained through the piriform fossa of the pelvic floor to the skin of the left buttock. CONCLUSIONS: A high index of suspiscion is necessary to not confuse the colo-buttock fistula with local abscesses. SN - 2444-054X UR - https://www.unboundmedicine.com/medline/citation/23522319/[Sigmoido_buttock_fistula_by_diverticulitis:_report_of_a_rare_complication]_ L2 - http://www.diseaseinfosearch.org/result/9681 DB - PRIME DP - Unbound Medicine ER -