Peritoneo-Cutaneous Fistula Secondary to Skin Excoriation from a Large Chronic Incisional Hernia

Published in Annals of Medicine and Surgery on November 2010

E.K. Tan, V.G. Shelat, L.T. Teo, M.T. Chiu
Department of General Surgery, Tan Tock Seng Hospital

Introduction

Incisional hernias are common complications following abdominal surgery with an incidence of 2% to 20% after midline laparotomy.1 Umbilical fl uid discharge is, however, an unusual presenting complaint and may arise from structural abnormalities persisting from birth such as a patent urachus or secondary to instrumentation. Here we report a case of a peritoneo-cutaneous fi stula arising from a large incisional hernia. It is to our knowledge that this may be the fi rst case reported in literature.