Fecal Fistula Following Appendectomy as an Unusual Late Complication: A Rare Case Report.

Abstract

Post-appendectomy fecal fistula is a rare complication, but it is associated with significant morbidity. Etiological factors of post-appendectomy fecal fistula formation include severe peri-appendicitis involving the base of the appendix as well as adjoining caecal wall; neoplasia of the appendix and caecum; infective bowel conditions especially intestinal tuberculosis, actinomycosis and Crohn's disease; distal obstruction and gossypiboma. Diagnosis of post-appendectomy fecal fistula is usually made on CT-scan but Fistulography is also useful in the late stages of the disease. Treatment of post-appendectomy fecal fistula includes non-surgical and surgical management options. We present a 20-year-old male patient who presented to the hospital with a longstanding surgical site infection in the scar of a previous appendectomy incision.