ISSN: 2642-6250
Authors: Mantilla Sarmiento Gabriela, Bautista Vásquez Ángel Fernando, Coello López Patricio David, Coronel Espinoza Luis Felix, Rojas Merchán Carlos Alejandro and Minchala Urgilés Rosa Elvira*
Introduction: The case of a patient with difficult-to-manage entero-atmospheric fistulas is presented, who received prolonged medical treatment with multiple complications and reinterventions, to whom intestinal resection surgery was proposed as the last step of management as a definitive solution to his disease. Clinical Case: This is a 62-year-old male patient from a rural area who, after blunt trauma to the abdomen and acute perforating abdomen, underwent several surgeries which as a complication presented the establishment of several enter atmospheric fistulas, difficult to manage due to multiple intercurrences during his hospitalization and to whom intestinal resection was considered as a solution. Evolution: The patient underwent surgery and it was possible to resect the intestinal segment with the fistulas in a hospital abdomen, in addition to reestablishing intestinal transit by reconnecting the iliostomy that the patient presented. His evolution was good, recovering intestinal transit and restarting his nutritional recovery, receiving discharge. at 100 days of hospitalization. Conclusions: Surgery is a useful tool for patients with prolonged management of entero-atmospheric intestinal fistula, as a rescue maneuver for these patients.
Keywords: Entero-Atmospheric Fistula; Abdominal Trauma; Hostile Abdomen
