Recto-femoral fistula presenting as emphysematous cellulitis of the knee: a case report & literature review.
Case Rep Emerg Med 2011;
2011:479209. [PMID:
23326693 PMCID:
PMC3542941 DOI:
10.1155/2011/479209]
[Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2011] [Accepted: 07/13/2011] [Indexed: 11/17/2022] Open
Abstract
Purpose. The rectofemoral fistula represents a devastating
complication of colorectal surgery. Its early diagnosis and treatment are
critical to obtain a good patient outcome. Case Presentation. A
75-year-old Caucasian female patient presented with high fever, ileus, low back
pain, sciatic nerve palsy, and infection of the right knee. After numerous
surgical debridements and antibiotic therapies, a rectofemoral fistula was
diagnosed. Conclusion. Increased doctors' alertness is
mandatory for the early identification and surgical treatment of patients
suffering from a rectofemoral fistula before the stage of diffuse infection has
significantly decreases their postoperative
morbidity and mortality.
Collapse