Sistema Gastrointestinal e Digestivo

Abstrato

Colocutaneous Fistula as a Result of Chronic Hidradenitis Suppurativa

Richard S Hoehn and Bradley R Davis

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.