Journal of Gastrointestinal & Digestive System
Open Access

Case Report

Colocutaneous Fistula as a Result of Chronic Hidradenitis Suppurativa

Department of Surgery, University of Cincinnati School of Medicine, Cincinnati, OH, USA

*Corresponding Author:

Bradley R. Davis
Division of Education, ML #0558
University of Cincinnati, Department of Surgery
231 Albert Sabin Way, Room 1586 Cincinnati, OH, USA
Tel: 45267-0558
Fax: 513.558.3474
E-mail: davisbd@ucmail.uc.edu

Received date: July 26, 2014; Accepted date: October 06, 2014; Published date: October 11, 2014

Citation: Hoehn RS and Davis BR (2014) Colocutaneous Fistula as a Result of Chronic Hidradenitis Suppurativa. J Gastroint Dig Syst 4:224. doi:10.4172/2161-069X.1000224

Copyright: © 2014 Hoehn RS, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

Introduction: Hidradenitis suppurativa is a chronic inflammatory disease affecting the skin of the axillae, groin, and perineum. It has many known sequelae including psychological stress, lymphedema, scarring, and fistula formation.

Case Presentation: TS is a 56-year-old male with a long history of hidradenitis affecting all of the classic areas. He has had excision and skin grafting of his axillae. He has also suffered from extensive involvement of his groin and perineum. Approximately 5 years ago he developed a spontaneous colocutaneous fistula at his umbilicus that eventually required surgical management.

Discussion: This is a new and unique presentation of hidradenitis that highlights the extensive morbidity caused by the disease. There are no other reports of hidradenitis affecting intra-abdominal tissues. Hidradenitis can be chronic and indolent, or it can be devastating. While multiple medical therapies exist, surgery is the only true cure.

Introduction: Hidradenitis suppurativa is a chronic inflammatory disease affecting the skin of the axillae, groin, and perineum. It has many known sequelae including psychological stress, lymphedema, scarring, and fistula formation. Case Presentation: TS is a 56-year-old male with a long history of hidradenitis affecting all of the classic areas. He has had excision and skin grafting of his axillae. He has also suffered from extensive involvement of his groin and perineum. Approximately 5 years ago he developed a spontaneous colocutaneous fistula at his umbilicus that eventually required surgical management. Discussion: This is a new and unique presentation of hidradenitis that highlights the extensive morbidity caused by the disease. There are no other reports of hidradenitis affecting intra-abdominal tissues. Hidradenitis can be chronic and indolent, or it can be devastating. While multiple medical therapies exist, surgery is the only true cure.

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