Purpose. The rectofemoral fistula represents a devastating
complication of colorectal surgery. Its early diagnosis and treatment are
critical to obtain a good patient outcome. Case Presentation. A
75-year-old Caucasian female patient presented with high fever, ileus, low back
pain, sciatic nerve palsy, and infection of the right knee. After numerous
surgical debridements and antibiotic therapies, a rectofemoral fistula was
diagnosed. Conclusion. Increased doctors' alertness is
mandatory for the early identification and surgical treatment of patients
suffering from a rectofemoral fistula before the stage of diffuse infection has
significantly decreases their postoperative
morbidity and mortality
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