Enterocutaneous fistula coexisting with enterovesical fistula: a rare complication of ovarian cystectomy

Enterocutaneous fistula is an abnormal communication between the intestine and the skin, while enterovesical fistula is an abnormal communication between the intestine and the bladder. Both are not usual complications of ovarian cystectomy. We present a patient with enterovesical fistula coexisting with enterocutaneous fistula following ovarian cystectomy. She is a 24-year-old lady with background immunosupression who presented to the National Obstetric Fistula Centre, Abakaliki South-East Nigeria with a history fecaluria, pneumaturia and passage of feculent fluid through the skin following ovarian cystectomy. Fistulogram was in keeping with rectovesical fistula. She was repaired in a single stage and made an uneventful recovery. Enterovesical fistula and enterocutaneus fistula are uncommon but possible complications of ovarian cystectomy

Hypokalaemic nephropathy secondary to enterocutaneous fistula: a rare complication of abdominal hysterectomy

A case of severe hypokalaemia due to enterocutaneous fistula as a post surgical complication of total abdominal hysterectomy is described. The severity of the hypokalaemia resulted in hypokalaemic nephropathy. The polyuria, nocturia and polydipsia were all reversed with appropriate fluid and potassium replacement after the closure of the fistula