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Persistent Ceco-Abdominal Fecal Fistula

Snow RS - MedPix (2009)

View Article: MedPix Image - MedPix Case

Affiliation: Naval Medical Center San Diego

ABSTRACT

Diagnosis: Persistent Ceco-Abdominal Fecal Fistula

History: 10 year-old female presented with 3 days nausea, vomiting and periumbilical pain that progressed to RLQ. Appendiceal fecolith found on abdominal ultrasound. Patient underwent laparoscopic appendectomy. Post-operatively, patient developed fevers, recurrence of pain and elevated WBC to 24.7 on POD#6.

Findings: Image 1: Lower abdominal fluid collection s/p appendectomy Image 2: Successful drain placement Image 3: Fistula from abscess pocket and drainage catheter tip to cecum Image 4: Persistent fistula from abscess pocket and drainage catheter tip to cecum

Ddx: Persistence of fistula likely due to repeated flushing with saline and presence of catheter.

Dxhow: Fistula resolved with cessation of saline flushes

Exam: Diffuse abdominal pain on palpation.

No MeSH data available.


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Persistent Ceco-Abdominal Fecal Fistula

Snow RS - MedPix (2009)

© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1289&req=5

View Article: MedPix Image - MedPix Case

Affiliation: Naval Medical Center San Diego

ABSTRACT

Diagnosis: Persistent Ceco-Abdominal Fecal Fistula

History: 10 year-old female presented with 3 days nausea, vomiting and periumbilical pain that progressed to RLQ. Appendiceal fecolith found on abdominal ultrasound. Patient underwent laparoscopic appendectomy. Post-operatively, patient developed fevers, recurrence of pain and elevated WBC to 24.7 on POD#6.

Findings: Image 1: Lower abdominal fluid collection s/p appendectomy Image 2: Successful drain placement Image 3: Fistula from abscess pocket and drainage catheter tip to cecum Image 4: Persistent fistula from abscess pocket and drainage catheter tip to cecum

Ddx: Persistence of fistula likely due to repeated flushing with saline and presence of catheter.

Dxhow: Fistula resolved with cessation of saline flushes

Exam: Diffuse abdominal pain on palpation.

No MeSH data available.