An enterocutaneous fistula is an abnormal connection between the intestines and the skin. Intestinal or stomach contents can leak through this connection. The contents may leak into another part of the body or outside of the body.
This is a potentially serious condition. You will need care from your doctor.
Most enterocutaneous fistulas develop as a complication of bowel surgery. Other causes include:
Factors that may increase your chance of enterocutaneous fistula include:
Symptoms may include:
You will be asked about your symptoms and medical history. A physical exam will be done. You may be referred to a colon and rectal surgeon.
Images may be taken of your bodily structures. This can be done with:
A fistula may be able to heal on its own over 2-8 weeks. Talk with your doctor about the best treatment plan for you. Treatment options include the following:
American Gastroenterological Association
Crohn’s and Colitis Foundation of America
Crohn's and Colitis Canada
Cobb A, Knaggs E. The nursing management of enterocutaneous fistulae: a challenge for all. BrJCommunity Nurs. 2003;8;9:S32-8.
Enterocutaneous fistula. UCSF Medical Center website. Available at: http://www.ucsfhealth.org/conditions/enterocutaneous_fistula. Accessed April 2, 2013.
Pritts TA, Fischer DR, Fischer JE. Postoperative enterocutaneous fistula. Holzheimer RG, Mannick JA, editors. Surgical Treatment: Evidence-Based and Problem-Oriented. Munich: Zuckschwerdt; 2001. Available from: http://www.ncbi.nlm.nih.gov/books/NBK6914. Accessed September 23, 2014.
Last reviewed August 2014 by Daus Mahnke, MD
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.