PMC5568874_01
Ct scan demonstrating a xifo-pubic fluid collection and jejunal fistula.
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CT scan demonstrated a diploid-pubic fluid collection between fascia of rectus muscles and the peritoneum, and the presence of a jejunal fistula, hypothetically due to an iatrogenic lesion from the drain placing (Fig. 1).
Open abdomen with EAF following removal of the infected mesh.
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Attempts to control fistula output: a) Kehr drain; b) baby bottle nipple.
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ULTA  - KCI) (Fig. 3a). Afterwards, to aid the Kehr tube to drain (Fig. 3b), a baby bottle nipple of soft silicone over the fistula with the drain passing through the small hole was positioned.
Intraoperative vision: a) adhesions b)laparoscopic adhesiolysis.
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Intraoperative vision: laparotomy (see arrows) under laparoscopic guidance.
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When this was concluded and only the bowel tract with the fistula remained fixed to the abdominal wall, a laparotomy was performed with resection of the intestinal tract site of perforation with a side to side jejuno-jejunostomy (Fig. 5).