Spontaneous enteroatmospheric fistula in a patient with COVID-19 disease

Ali Cihat Yıldırım; Mehmet Fatih Ekici; Sezgin Zeren

doi:10.28982/josam.1004620

Authors

Ali Cihat Yıldırım https://orcid.org/0000-0001-5379-2804
Mehmet Fatih Ekici https://orcid.org/0000-0002-1247-1139
Sezgin Zeren https://orcid.org/0000-0002-9342-1706

DOI:

https://doi.org/10.28982/josam.1004620

Keywords:

COVID-19, Enteroatmospheric fistula, Open abdomen

Abstract

Coronavirus 2019 (COVID-19) disease patients present with upper respiratory symptoms; however, these patients may show gastrointestinal symptoms on arrival at the hospital. This finding requires an abdominal physical examination and imaging for 33% of patients. Enteroatmospheric fistulas (EAF) may form a connection between the external environment and the gastrointestinal tract and usually presents various difficulties in controlling the disease without surgical intervention. Its management requires a high level of clinical expertise to control and treat the fistula. In this case report, spontaneous EAF and its management are presented in a 65-year-old morbidly obese female patient who spontaneously had EAF during her hospitalization for COVID-19.

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References

De Simone B, Chouillard E, Di Saverio S, Pagani L, Sartelli M, Biffl WL, et al. Emergency surgery during the COVID-19 pandemic: what you need to know for practice. Ann R Coll Surg Engl. 2020 May;102(5):323-2. doi: 10.1308/rcsann.2020.0097. PMID: 32352836; PMCID: PMC7374780.

Gok AFK, Eryılmaz M, Ozmen MM, Alimoglu O, Ertekin C, Kurtoglu MH. Recommendations for Trauma and Emergency General Surgery Practice During COVID-19 Pandemic. Ulus Travma Acil Cerrahi Derg. 2020 Apr;26(3):335-42. English. doi: 10.14744/tjtes.2020.79954. PMID: 32394416.

Coimbra R, Edwards S, Kurihara H, Bass GA, Balogh ZJ, Tilsed J, et al. European Society of Trauma and Emergency Surgery (ESTES) recommendations for trauma and emergency surgery preparation during times of COVID-19 infection. Eur J Trauma Emerg Surg. 2020 Jun;46(3):505-10. doi: 10.1007/s00068-020-01364-7. PMID: 32303798; PMCID: PMC7164519.

Katar MK, Ersoy PE. The effect of covid-19 pandemic on emergency general surgery cases: A single-center observational study. J Surg Med. 2021;5(5):519-22

Di Saverio S, Tarasconi A, Walczak DA, Cirocchi R, Mandrioli M, Birindelli A, et al. Classification, prevention and management of entero-atmospheric fistula: a state-of-the-art review. Langenbecks Arch Surg. 2016 Feb;401(1):1-13. doi: 10.1007/s00423-015-1370-3. PMID: 26867939.

Misky A, Hotouras A, Ribas Y, Ramar S, Bhan C. A systematic literature review on the use of vacuum assisted closure for enterocutaneous fistula. Colorectal Dis. 2016 Sep;18(9):846-51. doi: 10.1111/codi.13351. PMID: 27088556.

Bhayana R, Som A, Li MD, Carey DE, Anderson MA, Blake MA, et al. Abdominal Imaging Findings in COVID-19: Preliminary Observation. Radiology. 2020 Oct;297(1):207-15. doi: 10.1148/radiol.2020201908. PMID: 32391742; PMCID: PMC7508000.

Costanzi A, Monteleone M, Confalonieri M, Colletti G, Frattaruolo C, Fingerhut A. Late Bowel Ischemia and Colovaginal Fistula after Low Anterior Resection in a COVID-19 Patient. Chirurgia (Bucur). 2020 Sept-Oct;115(5):677-80. doi: 10.21614/chirurgia.115.5.677. PMID: 33138906.

Arnold MR, Kao AM, Otero J, Marx JE, Augenstein VA, Sing RF, et al. Mesh fistula after ventral hernia repair: What is the optimal management? Surgery. 2020 Mar;167(3):590-7. doi: 10.1016/j.surg.2019.09.020. PMID: 31883631.

Giudicelli G, Rossetti A, Scarpa C, Buchs NC, Hompes R, Guy RJ, et al. Prognostic Factors for Enteroatmospheric Fistula in Open Abdomen Treated with Negative Pressure Wound Therapy: a Multicentre Experience. J Gastrointest Surg. 2017 Aug;21(8):1328-34. doi: 10.1007/s11605-017-3453-7. PMID: 28536807.

Cirocchi R, Birindelli A, Biffl WL, Mutafchiyski V, Popivanov G, Chiara O, et al. What is the effectiveness of the negative pressure wound therapy (NPWT) in patients treated with open abdomen technique? A systematic review and meta-analysis. J Trauma Acute Care Surg. 2016 Sep;81(3):575-84. doi: 10.1097/TA.0000000000001126. PMID: 27257705.

Yetisir F, Salman AE, Acar HZ, Özer M, Aygar M, Osmanoglu G. Management of Septic Open Abdomen in a Morbid Obese Patient with Enteroatmospheric Fistula by Using Standard Abdominal Negative Pressure Therapy in Conjunction with Intrarectal One. Case Rep Surg. 2015;2015:293946. doi: 10.1155/2015/293946. PMID: 26779360; PMCID: PMC4686720.