Treatment of intractable enterocutaneous fistula with an island pedicled anterolateral thigh flap in Crohn's disease--case report.
Attempts to treat intractable enterocutaneous fistulae secondary to Crohn's disease are challenging and have been associated with long delays. An island pedicled anterolateral thigh (ALT) flap has been shown to achieve adequate coverage of abdominal wall reconstruction. In this case, with the assistance of a well-vascularised flap and adequate medical supportive managements, the intractable enterocutaneous fistula was closed; it then healed progressively.
Chang
Shih-Hsin
SH
Department of Plastic and Reconstructive Surgery, Mackay Memorial Hospital, No 92, sec2, ChungSan,North Road, Taipei, Taiwan; Mackay Medicine, Nursing and Management College, Taipei, Taiwan.
Hsu
Tze-Chi
TC
Su
Huang-Chuan
HC
Tung
Kwang-Yi
KY
Hsiao
Hung-Tao
HT
D000714:Anastomosis, Surgical / Q000009:adverse effects; D003082:Colectomy / Q000009:adverse effects; D003424:Crohn Disease / Q000150:complications / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D007082:Ileum / Q000601:surgery; D007412:Intestinal Fistula / Q000209:etiology / Q000473:pathology / Q000601:surgery*; D008875:Middle Aged; D013524:Surgical Flaps; D013529:Surgical Wound Dehiscence / Q000209:etiology / Q000473:pathology / Q000601:surgery*; D013848:Thigh