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Spontaneous Bilateral Lumbar Region Colocutaneous Fistulae. A Case Report


Samuel Wanjara
Winston Makanga

Abstract

Bilateral spontaneous lumbar colocutaneous fistulae are rare. They are associated with high costs of care, morbidity, and mortality. We present the case  of a 50- year-old male patient who presented with a 10-year history of two low-output spontaneous colocutaneous fistulae from both the left and right  lower lumbar regions with no identifiable risk factors. He was managed operatively with segmental left colon resection and a temporary loop ileostomy  with uneventful recovery after reversal of the ileostomy 2 months later. Whether the etiology of the fistulae is clinically apparent or not, the management  should follow commonly known principles. This report highlights a case of bilateral lumbar region spontaneous colocutaneous fistulae of unknown cause  that was managed operatively with satisfactory short-term outcomes.


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eISSN: 2523-0816
print ISSN: 1999-9674