Treatment of intractable enterocutaneous fistula with an island pedicled anterolateral thigh flap in Crohn's disease – case report

Summary Attempts to treat intractable enterocutaneous fistulae secondary to Crohn's disease are challenging and have been associated with long delays. An island pedicled anterolateral thigh (ALT) flap has been shown to achieve adequate coverage of abdominal wall reconstruction. In this case, wi...

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Bibliographic Details
Published in:Journal of plastic, reconstructive & aesthetic surgery reconstructive & aesthetic surgery, 2010-06, Vol.63 (6), p.1055-1057
Main Authors: Chang, Shih-Hsin, Hsu, Tze-Chi, Su, Huang-Chuan, Tung, Kwang-Yi, Hsiao, Hung-Tao
Format: Article
Language:English
Subjects:
Anastomosis, Surgical - adverse effects
Biological and medical sciences
Colectomy - adverse effects
Crohn Disease - complications
Crohn Disease - pathology
Crohn Disease - surgery
Crohn's Disease
Enterocutaneous Fistula
Female
Gastroenterology. Liver. Pancreas. Abdomen
Humans
Ileum - surgery
Intestinal Fistula - etiology
Intestinal Fistula - pathology
Intestinal Fistula - surgery
Island Pedicled Anterolateral Thigh Flap
Medical sciences
Middle Aged
Other diseases. Semiology
Plastic Surgery
Stomach. Duodenum. Small intestine. Colon. Rectum. Anus
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgical Flaps
Surgical Wound Dehiscence - etiology
Surgical Wound Dehiscence - pathology
Surgical Wound Dehiscence - surgery
Thigh
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Summary:Summary Attempts to treat intractable enterocutaneous fistulae secondary to Crohn's disease are challenging and have been associated with long delays. An island pedicled anterolateral thigh (ALT) flap has been shown to achieve adequate coverage of abdominal wall reconstruction. In this case, with the assistance of a well-vascularised flap and adequate medical supportive managements, the intractable enterocutaneous fistula was closed; it then healed progressively.
ISSN:1748-6815
1878-0539
DOI:10.1016/j.bjps.2009.10.024