A Case of Conservative Management of an Enterocutaneous Fistula Due to Jejunal Diverticulosis With Partial SMV Thrombosis

Abstract

An enterocutaneous stula (ECF) is an aberrant connection between intra-abdominal gastrointestinal tract and the skin. While great majority are iatrogenic, between 15-25% occur spontaneously. Common causes of spontaneous stula are congenital, infections, inammation, tumour, radiation and ischemia. Mortality associated with ECF has decreased from 40-60% to 15-20% largely attributed to advances in uid, electrolyte, acid-base balance knowledge, administration of blood products, critical care, antibiotic regimen and nutritional management – both enteral and parenteral.