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Colocutaneous fistula associated with Crohn’s disease following Kugel patch repair for inguinal hernia: a case report

Colocutaneous fistula associated with Crohn’s disease after mesh repair for inguinal hernia has not been previously reported in the literature. We report such case in an 83-year-old man following a preperitoneal repair of a left-sided inguinal hernia using Kugel patch. The patient has Crohn’s diseas...

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Autores principales: Sakai, Hiroki, Kubota, Koji, Yokoyama, Takahide, Shimizu, Akira, Notake, Tsuyoshi, Masuo, Hitoshi, Yoshizawa, Takahiro, Hosoda, Kiyotaka, Hayashi, Hikaru, Yasukawa, Koya, Umemura, Kentaro, Kamachi, Atsushi, Goto, Takamune, Tomida, Hidenori, Yamazaki, Shiori, Soejima, Yuji
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8824461/
https://www.ncbi.nlm.nih.gov/pubmed/35145622
http://dx.doi.org/10.1093/jscr/rjac005
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author Sakai, Hiroki
Kubota, Koji
Yokoyama, Takahide
Shimizu, Akira
Notake, Tsuyoshi
Masuo, Hitoshi
Yoshizawa, Takahiro
Hosoda, Kiyotaka
Hayashi, Hikaru
Yasukawa, Koya
Umemura, Kentaro
Kamachi, Atsushi
Goto, Takamune
Tomida, Hidenori
Yamazaki, Shiori
Soejima, Yuji
author_facet Sakai, Hiroki
Kubota, Koji
Yokoyama, Takahide
Shimizu, Akira
Notake, Tsuyoshi
Masuo, Hitoshi
Yoshizawa, Takahiro
Hosoda, Kiyotaka
Hayashi, Hikaru
Yasukawa, Koya
Umemura, Kentaro
Kamachi, Atsushi
Goto, Takamune
Tomida, Hidenori
Yamazaki, Shiori
Soejima, Yuji
author_sort Sakai, Hiroki
collection PubMed
description Colocutaneous fistula associated with Crohn’s disease after mesh repair for inguinal hernia has not been previously reported in the literature. We report such case in an 83-year-old man following a preperitoneal repair of a left-sided inguinal hernia using Kugel patch. The patient has Crohn’s disease in remission status for 4 years. One month after inguinal hernia repair, he presented with fever and left-sided inguinal pain and swelling. Computed tomography revealed abscess formation in the preperitoneal and subcutaneous space of the left-sided inguinal region. Colonoscopy showed local exacerbation of Crohn’s disease in the sigmoid colon, and formation of fistula between the sigmoid colon and abdominal wall of the left-sided inguinal region. We performed mesh removal with Hartmann resection following percutaneous abscess drainage. The post-operative course was uneventful, and no sign of recurrence of the hernia was found for 3 years post-operatively.
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spelling pubmed-88244612022-02-09 Colocutaneous fistula associated with Crohn’s disease following Kugel patch repair for inguinal hernia: a case report Sakai, Hiroki Kubota, Koji Yokoyama, Takahide Shimizu, Akira Notake, Tsuyoshi Masuo, Hitoshi Yoshizawa, Takahiro Hosoda, Kiyotaka Hayashi, Hikaru Yasukawa, Koya Umemura, Kentaro Kamachi, Atsushi Goto, Takamune Tomida, Hidenori Yamazaki, Shiori Soejima, Yuji J Surg Case Rep Case Report Colocutaneous fistula associated with Crohn’s disease after mesh repair for inguinal hernia has not been previously reported in the literature. We report such case in an 83-year-old man following a preperitoneal repair of a left-sided inguinal hernia using Kugel patch. The patient has Crohn’s disease in remission status for 4 years. One month after inguinal hernia repair, he presented with fever and left-sided inguinal pain and swelling. Computed tomography revealed abscess formation in the preperitoneal and subcutaneous space of the left-sided inguinal region. Colonoscopy showed local exacerbation of Crohn’s disease in the sigmoid colon, and formation of fistula between the sigmoid colon and abdominal wall of the left-sided inguinal region. We performed mesh removal with Hartmann resection following percutaneous abscess drainage. The post-operative course was uneventful, and no sign of recurrence of the hernia was found for 3 years post-operatively. Oxford University Press 2022-02-02 /pmc/articles/PMC8824461/ /pubmed/35145622 http://dx.doi.org/10.1093/jscr/rjac005 Text en Published by Oxford University Press and JSCR Publishing Ltd. © The Author(s) 2022. https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Sakai, Hiroki
Kubota, Koji
Yokoyama, Takahide
Shimizu, Akira
Notake, Tsuyoshi
Masuo, Hitoshi
Yoshizawa, Takahiro
Hosoda, Kiyotaka
Hayashi, Hikaru
Yasukawa, Koya
Umemura, Kentaro
Kamachi, Atsushi
Goto, Takamune
Tomida, Hidenori
Yamazaki, Shiori
Soejima, Yuji
Colocutaneous fistula associated with Crohn’s disease following Kugel patch repair for inguinal hernia: a case report
title Colocutaneous fistula associated with Crohn’s disease following Kugel patch repair for inguinal hernia: a case report
title_full Colocutaneous fistula associated with Crohn’s disease following Kugel patch repair for inguinal hernia: a case report
title_fullStr Colocutaneous fistula associated with Crohn’s disease following Kugel patch repair for inguinal hernia: a case report
title_full_unstemmed Colocutaneous fistula associated with Crohn’s disease following Kugel patch repair for inguinal hernia: a case report
title_short Colocutaneous fistula associated with Crohn’s disease following Kugel patch repair for inguinal hernia: a case report
title_sort colocutaneous fistula associated with crohn’s disease following kugel patch repair for inguinal hernia: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8824461/
https://www.ncbi.nlm.nih.gov/pubmed/35145622
http://dx.doi.org/10.1093/jscr/rjac005
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