Colocutaneous Fistula Presenting as a Lateral Thigh Mass With Secondary Prosthetic Hip Infection
Jonathan Alverio Rivera, Sonal Kaushik, John Barnwell · 2026
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Description
Jonathan Alverio Rivera, Sonal Kaushik, and John Barnwell present a 2026 case report. It describes a bowel-to-skin fistula that surfaced as a thigh lump and infected an artificial hip. The patient was an eighty-three-year-old woman with earlier abdominal surgery and a right hip replacement. Imaging was clouded by glare from the metal joint, and no bowel connection could be confirmed. So the growing lateral thigh mass was presumed to be an abscess.
At drainage surgery, the cavity unexpectedly held feculent material, stool-like matter. This exposed a colocutaneous fistula reaching the prosthetic joint. The authors warn that deep soft tissue infections containing gas should prompt a search for an intestinal source, even in odd locations like the thigh. They add that multidisciplinary evaluation matters.
Catalog record
| CREATOR | Jonathan Alverio Rivera, Sonal Kaushik, John Barnwell |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 12514 |
| LICENSE | https://creativecommons.org/licenses/by/4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |