{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T11:36:37Z","timestamp":1791545797745,"version":"4.3.4"},"reference-count":11,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2021,12,1]],"date-time":"2021-12-01T00:00:00Z","timestamp":1638316800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2021,12,25]],"date-time":"2021-12-25T00:00:00Z","timestamp":1640390400000},"content-version":"vor","delay-in-days":24,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Surg"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Enterocutaneous fistula commonly occurs in the post-operative setting. However, a handful of cases have been reported to occur secondary to strangulation of hernia, mostly femoral due to the narrow femoral ring through which this type of hernia passes through.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Case presentation<\/jats:title>\n                <jats:p>We encountered a case of spontaneous fecal fistula, which occurred in the setting of an incarcerated femoral hernia. The patient did not develop peritonism, or obstruction, throughout the course of the disease. The hernia ruptured on day 7 of incarceration. Exploratory laparotomy under epidural anesthesia revealed a femoral hernia with ileum as content, arising approximately 20\u00a0cm from the\n ileocecal junction. Reduction of the contents was done, and a resection performed along with repair of the hernia.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>As very few literature describe the formation of spontaneous fecal fistula, we discuss the presentation in this report.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s12893-021-01439-1","type":"journal-article","created":{"date-parts":[[2021,12,25]],"date-time":"2021-12-25T12:02:37Z","timestamp":1640433757000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Spontaneous enterocutaneous fistula in a patient with femoral hernia: a case report"],"prefix":"10.1186","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2960-0547","authenticated-orcid":false,"given":"Anup","family":"Chalise","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashish Prasad","family":"Rajbhandari","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lok Bahadur","family":"Kathayat","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rabin","family":"Koirala","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2021,12,25]]},"reference":[{"key":"1439_CR1","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1155\/2014\/195736","volume":"2014","author":"I Nikolopoulos","year":"2014","unstructured":"Nikolopoulos I, Oderuth E, Ntakomyti E, Kald B. Intestinal obstruction due to bilateral strangulated femoral hernias. Case Rep Surg. 2014;2014:1\u20133. https:\/\/doi.org\/10.1155\/2014\/195736.","journal-title":"Case Rep Surg"},{"key":"1439_CR2","doi-asserted-by":"publisher","first-page":"370","DOI":"10.1186\/1757-1626-1-370","volume":"1","author":"S Sistla","year":"2008","unstructured":"Sistla S, Reddy R, Dharanipragada K, Jagdish S. Enterocutaneous fistula due to mesh fixation in the repair of lateral incisional hernia: a case report. Cases J. 2008;1:370. https:\/\/doi.org\/10.1186\/1757-1626-1-370.","journal-title":"Cases J"},{"issue":"5","key":"1439_CR3","doi-asserted-by":"publisher","first-page":"1009","DOI":"10.1016\/s0039-6109(05)70495-3","volume":"76","author":"S Berry","year":"1996","unstructured":"Berry S, Fischer J. Classification and pathophysiology of enterocutaneous fistulas. Surg Clin N Am. 1996;76(5):1009\u201318. https:\/\/doi.org\/10.1016\/s0039-6109(05)70495-3.","journal-title":"Surg Clin N Am"},{"issue":"4","key":"1439_CR4","doi-asserted-by":"publisher","first-page":"199","DOI":"10.5152\/eajem.2015.65807","volume":"14","author":"M Bostanci","year":"2015","unstructured":"Bostanci M, Ozel I, Bozkurt B, Soylu S, Turan M. Spontaneous enterocutaneous fistula: a rare presentation of incarcerated femoral hernia. Eurasian J Em Med. 2015;14(4):199\u2013200. https:\/\/doi.org\/10.5152\/eajem.2015.65807.","journal-title":"Eurasian J Em Med"},{"issue":"1","key":"1439_CR5","doi-asserted-by":"publisher","first-page":"67","DOI":"10.1186\/s12893-015-0055-8","volume":"15","author":"K Ahi","year":"2015","unstructured":"Ahi K, Moudgil A, Aggarwal K, Sharma C, Singh K. A rare case of spontaneous inguinal faecal fistula as a complication of incarcerated Richter\u2019s hernia with brief review of literature. BMC Surg. 2015;15(1):67. https:\/\/doi.org\/10.1186\/s12893-015-0055-8.","journal-title":"BMC Surg"},{"key":"1439_CR6","doi-asserted-by":"publisher","first-page":"bcr2012006939","DOI":"10.1136\/bcr-2012-006939","volume":"2012","author":"A Kumar","year":"2012","unstructured":"Kumar A, Pahwa HS, Pandey A, Kumar S. Spontaneous enterocutaneous fistula due to femoral hernia. Case Rep. 2012;2012:bcr2012006939. https:\/\/doi.org\/10.1136\/bcr-2012-006939.","journal-title":"Case Rep"},{"issue":"02","key":"1439_CR7","doi-asserted-by":"publisher","first-page":"130","DOI":"10.1055\/s-0036-1580732","volume":"29","author":"I Gribovskaja-Rupp","year":"2016","unstructured":"Gribovskaja-Rupp I, Melton G. Enterocutaneous fistula: proven strategies and updates. 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Accessed 4 Dec 2021."}],"container-title":["BMC Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12893-021-01439-1.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12893-021-01439-1\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12893-021-01439-1.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,12,25]],"date-time":"2021-12-25T12:02:52Z","timestamp":1640433772000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmcsurg.biomedcentral.com\/articles\/10.1186\/s12893-021-01439-1"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,12]]},"references-count":11,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2021,12]]}},"alternative-id":["1439"],"URL":"https:\/\/doi.org\/10.1186\/s12893-021-01439-1","relation":{},"ISSN":["1471-2482"],"issn-type":[{"value":"1471-2482","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,12]]},"assertion":[{"value":"1 October 2021","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"18 December 2021","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"25 December 2021","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Not applicable.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval\/consent to participate"}},{"value":"Written informed consent was obtained from the patient for publication of this Case report and any accompanying images. A copy of the written consent is available for review by the Editor of this journal.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"435"}}