A Delayed Recrudescent Case of Sigmoidocutaneous Fistula due to XXXX .

@entity1 @entity4557 @entity66 @entity292 @entity490 @entity4436
@entity292 caused by @entity4436 is relatively rare, and a delayed recrudescent case of @entity292 is very uncommon. We herein report a rare case of a Japanese 56-year-old male with delayed @entity4557 due to @entity4436 . A @entity292 was formed after a drainage operation against a perforation of the sigmoid colon diverticulum. After 5 years from treatment, he was admitted to our hospital because of lower @entity490 . We diagnosed the @entity4557 by abdominal computed tomography and gastrografin enema, and managed the @entity1 with total parenteral nutrition and antibiotics. As the @entity292 formation did not improve, a low anterior resection with fistulectomy was performed. The postoperative course was uneventful and the @entity1 was discharged. It has been reported that, in fistulas of the skin caused by @entity66 , complete closure of the @entity292 by conservative therapy may not be possible. This case also implies the possibility of a recurrence of the @entity292 even if the conservative treatment was effective. In cases of @entity292 due to @entity4436 , radical surgery is considered necessary because of possibility of recurrence of the @entity292 .
