Title: Spontaneous Tuberculous Enterocutaneous Fistula at Iliac Crest – A Rare Case
Authors: Girish D Bakhshi, Kavita V Jadhav, Dayanand D Choure, Mukund B Tayade, Palak Jaiswal, Apurva Anand
DOI: http://dx.doi.org/10.18535/jmscr/v3i9.58
Enterocutaneous fistula is an abnormal communication between bowel and skin. Most cases of enterocutaneous fistula (ECF) are iatrogenic and develop following abdominal surgeries. Other common causes are inflammatory bowel disease, malignancy, post radiation therapy, anastomotic breakdown. Less commonly, ECFs develop spontaneously as part of the disease process in Crohn's disease, diverticulitis, tuberculosis or enteric fever. We present a case of spontaneous enterocutaneous fistula due to tuberculosis at right iliac creast region posteriorly near ilial tubercle in flank, an uncommon site. KEY WORDS Spontaneous ECF, Iliac creast- a rare site ECF 1. Rao PL, Mitra SK, Pathak IC. Spontaneous tuberculous enteroumbilical fistulas. Am J Gastroentrol.1979;72:671-5. 2. Ameh EA, Awotula OP, Amoah JN. Spontaneous scrotal faecal fistula in infants. Pediatr Surg Int. 2002;18:524–5. 3. Rai & Pahwa et al. Spontaneous Enterocutaneous Fistula - A Rare Presentation. Internet Journal of Surgery; 2009,19 : 15Abstract
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