Enterocutaneous Fistula and Abscess Diagnosed with Point-of-care Ultrasound.

ABSTRACT:

Case presentation

A 64-year-old female with history of umbilical hernia repair with mesh 18 years prior, cystocele, and diabetes mellitus presented with 10 days of abdominal and flank pain. The patient was tachycardic, normotensive, afebrile, and had an erythematous, tender, protuberant abdominal wall mass. Point-of-care ultrasound (POCUS) revealed an irregular, heterogeneous extraperitoneal fluid collection with intraperitoneal communication; these findings were consistent with an abscess and infected mesh with evidence for intraperitoneal extension. The diagnosis of enterocutaneous fistula (ECF) with infected mesh and abdominal wall abscess was confirmed with computed tomography and the patient was admitted for antibiotics and source control.

Discussion

A rare complication

SUBMITTER: McCuskee S 

PROVIDER: S-EPMC8610473 | biostudies-literature | 2021 Nov

REPOSITORIES: biostudies-literature