“Fístula enterocutánea secundaria a adherencias intestinales + resección de segmento intestinal por laparotomía con anastomosis de termino terminal por isquemia intestinal + abdomen congelado”

Abstract

The Enterocutaneous fistulas are pathologies that represent a very large problem in surgical practice. They usually present in postoperative processes developing 90% after surgery. Despite medical advances, morbidity and mortality rates remain high. In the clinical case studied, three complications were identified: electrolyte imbalance, levels of malnutrition and sepsis. The objective of the management of the presented clinical case is the spontaneous closure and the installation of an adequate nutritional support to achieve the success of the treatment. The control of sepsis is a priority, uncontrolled sepsis must be attacked quickly because it is the main cause of death. Spontaneous closure has increased in recent years; however, it is likely that still a large part of the patients merit surgical treatment, and this must be done at the right time.