Fig. 3
From: Enterocutaneous fistulas: a primer for radiologists with emphasis on CT and MRI
Early postoperative ECF in a 74-year-old woman following cytoreductive surgery for advanced endometrial carcinoma with peritoneal carcinomatosis. Characteristic CT (A, B) findings included enhancing “tram-track” paired structures (arrows) crossing from the peritoneal cavity through the anterior abdominal wall to the EFO (arrowheads), separated from the recent laparotomic access site (+). The ECF ultimately healed with prolonged in-hospital conservative treatment
Another ECF developing in a 54-year-old obese woman with post-incisional abdominal evisceration: corresponding CT (C, D) appearance included thick-walled enhancing fistula (arrows) coursing from a herniated small bowel loop to the focally retracted EFO (arrowheads). Surgical treatment included ECF debridement and mesh hernioplasty