Case Report
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Oct 27, 2022; 14(10): 1161-1168
Published online Oct 27, 2022. doi: 10.4240/wjgs.v14.i10.1161
Cecocutaneous fistula diagnosed by computed tomography fistulography: A case report
Tung-Yen Wu, Kuang-Hua Lo, Chao-Yang Chen, Je-Ming Hu, Jung-Cheng Kang, Ta-Wei Pu
Tung-Yen Wu, Department of Surgery, Tri-Service General Hospital Songsang Branch, Taipei 105, Taiwan
Kuang-Hua Lo, Department of Surgery, Taipei Veterans General Hospital, Taipei 112, Taiwan
Chao-Yang Chen, Je-Ming Hu, Division of Colon and Rectal Surgery, Department of Surgery, Tri-Service General Hospital, Taipei 114, Taiwan
Jung-Cheng Kang, Division of Colon and Rectal Surgery, Department of Surgery, Taiwan Adventist Hospital, Taipei 105, Taiwan
Ta-Wei Pu, Division of Colon and Rectal Surgery, Department of Surgery, Tri-Service General Hospital Songsang Branch, National Defense Medical Center, Taipei 105, Taiwan
Author contributions: Wu TY, Pu TW, Lo KH, Chen CY, Hu JM, and Kang JC designed and performed the research; Wu TY and Pu TW analyzed the data and wrote the manuscript.
Informed consent statement: Informed written consent was obtained from the patient to publish this report and any accompanying images.
Conflict-of-interest statement: The authors declare no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to it.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Ta-Wei Pu, MD, Doctor, Lecturer, Division of Colon and Rectal Surgery, Department of Surgery, Tri-Service General Hospital Songsang Branch, National Defense Medical Center, No. 131 Chien-Kang Road, Taipei 105, Taiwan. tawei0131@gmail.com
Received: June 21, 2022
Peer-review started: June 21, 2022
First decision: July 12, 2022
Revised: August 8, 2022
Accepted: October 5, 2022
Article in press: October 5, 2022
Published online: October 27, 2022
Processing time: 125 Days and 22.2 Hours
Core Tip

Core Tip: Computed tomography (CT) fistulography is seldom performed on patients with insufficient evidence of fistula; however, it provides more accurate anatomical details than X-ray fistulography and abdominal CT. A 35-year-old man with swelling and purulence over the abdominal wall was admitted to our hospital under the diagnosis of cellulitis. Serial examinations suggested a possible enterocutaneous fistula (ECF); thus, we performed CT fistulography. Images showed the subcutaneous contrast agent tracked down through the muscle and peritoneum into the cecum, confirming a cecocutaneous fistula. CT fistulography may rule out ECF in patients presenting with cellulitis if examinations are suggestive.