Recto-Femoral Fistula Presenting as Emphysematous Cellulitis of the Knee : A Case Report & Literature Review

Abstract EN

Purpose.

The rectofemoral fistula represents a devastating complication of colorectal surgery.

Its early diagnosis and treatment are critical to obtain a good patient outcome.

Case Presentation.

A 75-year-old Caucasian female patient presented with high fever, ileus, low back pain, sciatic nerve palsy, and infection of the right knee.

After numerous surgical debridements and antibiotic therapies, a rectofemoral fistula was diagnosed.

Conclusion.

Increased doctors' alertness is mandatory for the early identification and surgical treatment of patients suffering from a rectofemoral fistula before the stage of diffuse infection has significantly decreases their postoperative morbidity and mortality.