Asian Journal of Research in Surgery

Intracolonic Migration of an Abdominal Drain through an Appendiceal Fistula: A Rare Post-Appendectomy Complication Managed Conservatively

Cristina Davó Pérez *

General and Digestive Surgery Department, Hospital Vega Baja, Orihuela (Alicante), Spain.

Virginia Pellicer Sánchez

General and Digestive Surgery Department, Hospital Vega Baja, Orihuela (Alicante), Spain.

Edelmira Soliveres

General and Digestive Surgery Department, Hospital Vega Baja, Orihuela (Alicante), Spain.

Julio Sánchez Corral

General and Digestive Surgery Department, Hospital Vega Baja, Orihuela (Alicante), Spain.

Carolina Curtis Martínez

General and Digestive Surgery Department, Hospital Vega Baja, Orihuela (Alicante), Spain.

Miguel Ángel Morcillo Rodenas

General and Digestive Surgery Department, Hospital Vega Baja, Orihuela (Alicante), Spain.

*Author to whom correspondence should be addressed.

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Abstract

In patients with appendiceal fistula undergoing conservative management, the main complication is inadequate or incomplete drainage of the fistula, which often leads to the consideration of more aggressive measures. We describe an extremely rare complication with an abdominal drain: intracolonic migration through appendiceal fistula. No such cases have been described in the literature. Our aim is to describe our experience and the therapeutic approach adopted to offer a less invasive treatment alternative, avoiding major surgeries, with good results.

Keywords: Fecal fistula, appendectomy, vacuum-assisted closure, Blumberg sign

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