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Unusual presentation of more common disease/injury
Multiple spontaneous enterocutaneous fistulae on back: a rare presentation of colonic malignancy
  1. Awanish Kumar1,
  2. Harvinder Pahwa2,
  3. Rohit Srivastava2,
  4. Ravi Kumar2
  1. 1Department of Surgery, CSM Medical University, Lucknow, Uttar Pradesh, India
  2. 2Department of General Surgery, CSM Medical University, Lucknow, Uttar Pradesh, India
  1. Correspondence to Dr Awanish Kumar, awanishkr79{at}


We came across a case presenting with complaint of multiple fistulae present on back and lateral part of abdominal wall discharging faecal matter. Investigations revealed a fistulous tract arising from posterior wall of ascending colon. The patient did not respond to conservative management and therefore was subjected to exploratory laparotomy after thorough investigations. Peroperatively, an ileocaecal mass was found along with a fistulous tract which was arising from the posterior wall of ascending colon and communicating with the skin. A right haemicolectomy was performed followed by ileo-transverse anastomosis. Postoperative recovery was uneventful. The histopathology report came out to be adenocarcinoma of colon.

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