Cutaneous presentation of ectopic small bowel mucosa

Abstract

To the Editor: A 77-year-old man was referred to dermatology with a chronic non-healing abdominal wound. Three years prior to presentation, he underwent a total colectomy for colon adenocarcinoma. During the following months, he developed several anastomotic leaks requiring an ileostomy and a low anterior resection anastomosis revision. Post-operative course was complicated by a retroperitoneal abscess. Following drainage of the abscess, he developed an ileal fistula, a ‘BUD’ fistula, in the open wound. After two subsequent surgeries, the fistula was successfully closed, and the resulting skin defect repaired with a split thickness skin graft.