Enterocutaneous Umbilical Fistula: An Uncommon Presentation of Abdominal Tuberculosis

Dr. Ketan Vagholkar; Dr. Shalini Nair; Dr. Abhijit Budhkar; Dr. Supriya Joshi; Dr.Jagruti Gulati

Volume : IV, Issue : IX, September - 2014

Enterocutaneous Umbilical Fistula: An Uncommon Presentation of Abdominal Tuberculosis

Dr. Ketan Vagholkar, Dr. Shalini Nair, Dr. Abhijit Budhkar, Dr. Supriya Joshi, Dr. Jagruti Gulati

Abstract :

Background Tuberculosis is one of the commonest infection of the abdomen encountered by General Surgeons in the developing world. The incidence is increasing with the rising incidence of HIV. The presentations are assuming great variation posing a diagnostic challenge to the attending surgeon. Case Report A case of spontaneous enterocutaneous umbilical fistula with a diagnosis established on histopathological examination is presented in view of its rarity. Discussion The variation in presentation of abdominal tuberculosis along with diagnostic modalities and therapeutic options are discussed. Conclusion An enterocutaneous fistula can be due to tuberculosis of abdomen. This aetiology needs to be kept in mind when confronted by an umbilical fistula pouring out intestinal contents.