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Spontaneous tubercular enterocutaneous fistula developing in the scar of a surgery done 14 years earlier
Saudi Journal of Gastroenterology, 10/05/09

Singh O et al. – A 32–year–old male presented with the complaint of fecal matter coming out continuously from an opening present over the scar of previous surgery. The only significant past history was that of appendicectomy done 14 years back for acute appendicitis (nontubercular). Histopathology of tissue taken from the margins of the fistulous opening showed caseating granuloma, consistent with tuberculosis. Treatment was provided successfully in the form of fistulectomy and right hemicolectomy with ileotransverse anastomosis along with a 9–month course of four–drug antitubercular treatment.

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