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

Fareed Ahmad Nazari,1 GhulamYahia Baset,1 Saied Karim Zarif,1 Muhammad Anwar Rahimdeen,1 Ahmad Amiri,2 Farukh Seyar2 1Department of Emergency Surgery and Trauma, Kabul University of Medical Science, Ali Abad University Hospital, Kabul, Afghanistan; 2Department of Abdominal Surgery, Kabul University of Medical Science, Ali Abad University Hospital, Kabul, AfghanistanCorrespondence: GhulamYahia Baset, Email [email protected]: 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.Keywords: fecal fistula, post-appendectomy, gossypiboma, appendicitis