Case 21-1988 — A 77-Year-Old Man with a Draining Fistula in the Right Lower Abdominal Quadrant

Presentation of CaseA 77-year-old man was admitted to the hospital because of a question of a right enterocutaneous fistula with a right inguinal abscess.There was a long history of diabetes mellitus, which recently was managed by diet alone. An appendectomy and right inguinal herniorrhaphy were performed in the past. Thirteen years before entry the patient underwent a surgical procedure at another hospital for a right renal calculus. Seven years before admission a computed tomographic (CT) scan of the abdomen was performed at another hospital because of chronic abdominal pain and revealed a fluid collection of considerable length and . . .