PMC6393669_01
Pre-operative photograph- the uppermost depressed ulcer covered with pale granulation is the external fistula opening.
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PMC6393669_01_gr1.jpg
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Apart from this ulcer there were few other spots showing exuberant pale granulation (Fig. 1).
Axial CECT fistulography image shows the air and positive ionic contrast filled track (arrow) at the anterior aspect of pylorus (p) indicating the site of perforation and the enteric site of the enterocutaneous fistula.
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PMC6393669_01_gr2.jpg
fig0010
A long side branch of the fistula tract was seen communicating to a moderate sized left subphrenic collection (Fig. 2).