Thursday, 3 November 2016

Enterocutaneous Fistula | PGI based MCQs


True about enterocutaneous fistula 
A. High output fistula drains 500 mI/day 
B. Malignancy is most common cause 
C. Fluid &electrolyte loss can occur 
D. No skin damage
E. may occur following tubercular infection



The Answer is. (C) Fluid & electrolyte loss can occur 
• Causes of enterocutaneous fistula
— Following operation of gangrenous appendicitis and draining of appendicular abscess
— Malignancy (carcinoma colon)
— Tubercular enteritis.
• Type of enterocutaneous fistula
—Those with high output > 1 liter /day.
--- Those with low output < 1 liter /day.
Features
Discharge            • Excoriation of skin           • Fluid and electrolyte imbalance e.g. hypokalemia