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Research Article| Volume 57, ISSUE 6, P826-831, June 1965

Spontaneous enterocutaneous fistula: Report of a case and review of the literature

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      Abstract

      • 1.
        1. A case of spontaneous enterocutaneous fistula secondary to incarcerated umbilical hernia is reported.
      • 2.
        2. Regional enteritis is the most common cause of spontaneous cutaneous fistula, which accounts for up to 16 percent of the complications of regional enteritis.
      • 3.
        3. Spontaneous fistulas are reported to occur in as many as 12 percent of the cases of abdominal actinomycosis.
      • 4.
        4. Congenital retention of the omphalomesenteric duct may cause a spontaneous fistula. This usually occurs in infants, but has been reported in a 21-year-old patient.
      • 5.
        5. Perforated duodenal ulcer and blunt abdominal trauma were the predominant causes of spontaneous fistulas in the older literature.
      • 6.
        6. Small-bowel malignancy, intestinal foreign bodies, diverticula of the small intestine, infections of the small intestine, osteomyelitis of the hip, and tuberculosis are not significant causes of spontaneous enterocutaneous fistula.
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