小児科および健康研究 オープンアクセス

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Case Report: Appendicular Stump Blowout Following an Emergency Appendectomy: An Unusual Complication

Subhadeep Das, Asmita Ghosh, Partha Chakraborty, Pankaj Halder

Fecal fistula (FF) following an appendectomy occurs mostly after emergency surgery. Caecal injury or severe peri-appendicitis often causes postoperative FF. It usually subsides with conservative therapy in the absence of any underlying pathology and distal obstruction. However, this is not true for an appendiceal stump blowout where surgical intervention is often required to reduce morbidity, especially in children. Appendiceal stump blowout is rare and is infrequently reported in the literature. We report a case of post-appendectomy FF in a 9-year old female child where we had to re-explore and ligate the appendicular base to manage the intractable fistula