Enterocutaneous fistula: A complication of posterior iliac bone graft harvesting not previously described

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dc.contributor.authorDöşoğlu, Murat
dc.contributor.authorOrakdöğen, Metin
dc.contributor.authorTevrüz, Mahir
dc.contributor.authorGöğüsgeren, Mehmet A.
dc.contributor.authorMutlu, F.
dc.date.accessioned2020-04-30T13:32:25Z
dc.date.available2020-04-30T13:32:25Z
dc.date.issued1998
dc.departmentDÜ, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümüen_US
dc.descriptionPubMed ID: 9856254en_US
dc.description.abstractA case of enterocutaneous fistula at the donor site is presented. A patient underwent posterior C5-C6 wire fusion with autologous bone graft taken from the posterior superior iliac crest for degenerative C5-C6 spondylolisthesis. The tip of the osteotome slipped anteriorly during the procurement but neither neurovascular nor peritoneal injury were observed. Spillage of formed faecal material was observed from the donor site on the 12th postoperative day. Fistulogram showed an enterocutaneous fistula to descending colon. The fistula closed spontaneously in a week. Enterocutaneous fistula after bone harvesting has never been reported in the literature as far as we know. Congenital malformations and acquired causes may create a vulnerable peritoneal area. Small bowel or descending colon may show a close relationship or even an adhesion to peritoneum in the presence of local peritonitis. A small lesion in this area may play a role in the occurrence of a fistula, and a low flow pseudofistulous tract may appear. The thermal injury and possible ischaemic necrosis due to cauterisation may be predisposing factors in the aetiology of this kind of fistula. The lack of foreign material and spontaneous closure were against an infectious origin. The aims of this report are to present and analyse the reasons of this complication, not previously described.en_US
dc.identifier.doi10.1007/s007010050219en_US
dc.identifier.endpage1092en_US
dc.identifier.issn0001-6268
dc.identifier.issue10en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage1089en_US
dc.identifier.urihttps://dx.doi.org/10.1007/s007010050219
dc.identifier.urihttps://hdl.handle.net/20.500.12684/282
dc.identifier.volume140en_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.relation.ispartofActa Neurochirurgicaen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectBone graft; Complication; Donor site; Enterocutaneous fistulaen_US
dc.titleEnterocutaneous fistula: A complication of posterior iliac bone graft harvesting not previously describeden_US
dc.typeArticleen_US

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