This 56 years old male was readmitted to the hospital with fistula at the midine at the previous scar. He underwent Rt. hemicolectomy for the Behcet's disease later he develped fistula at the wound and then resection of transverse colon was dome. And then he developed another fistula from this anastomotic area. And opening is about 1.2cm, fecal material are came out throught this fistula, Family has been explained complication out come and patiet want have surgery done one and another and came to operating room.
Due to previous surgery and fistula, there is densor adhesion around fistulous track. Fistula was appearant start frome the ileocolic anastomosis. Anterior wall was almost narrowing and adherant to the fistulous track. The jejunum about 3cm from the ligament slice was adherant to this mass and about 40cm from the adhesion another loop small intestine was adhered to this fistulous track. The loft lobe of liver was also and stomach was adhered to this fistulous track. Making the huge mass measured about 8cm in diameter. But lest bowel does not showes much adgesions.
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