Intra abdominal abscess with Fistula after takedown

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UC in UT
Regular Member

Date Joined Jul 2010
Total Posts : 36
   Posted 10/21/2010 12:06 PM (GMT -6)   
Hello All,
I have not posted here in awhile because I have had one hell of a year. I had a total colectomy with loop ileostomy in April and had major post surgical problems - including multiple abscesses in my abdominal cavity.
I had my ostomy taken town in mid August. Soon after I developed a pelvic intra abdominal abscess which has a fistula connecting to the rectum. The surgeon says the fistula is very small (like a very thin drinking straw) and the abscess in only about 3 inches long and about 1 inch in diameter.
Here is my question. I have now had a drain for over two months and have been on continuous Flagyl, Cipro, Diflucan and intermittent doses of Levaquin. The abscess is shrinking very slowly but I do not think it is really healing as I still get daily, puss out of the drain.

I get my next Sinogram next Tuesday to see if the abscess and fistula are beginning to heal on their own (but I really don't think they are).
My surgeon acts like surgery is not an option - however, I have read on these boards that abscesses and fistulas can be done with a laparodomy.
Has anyone ever had anything similar? I just don't think this current treatment is going to work and want to push my surgeon for alternatives.
Thanks for any help.
"I come from the suburbs. You know the suburbs? It's where they tear out all the trees and name the streets after them." David Lee Roth

Male, Age 40
Diagnosed with Pancolitis, August 2005
Diagnosis changed to Pancolitis not including Sigmoid colon, rectum Jan. 2006
Past drugs: Azathioprine, Asacol, Remicade, Humira, Cimzia, Methotrexate, Prednisone. All had side effects or stopped working.

Currently suffer from drug induced Lupus, Raynaud's, Cryoglbulinemia and mild arthritis - all attributed to use of Remicade.

April 2010: underwent total colectomy with ileorectal anastomosis with temporary loop ileostomy. Awaiting take down.
Current meds: Rowasa enemas, 10mg prednisone/day

Veteran Member

Date Joined Feb 2006
Total Posts : 5698
   Posted 10/21/2010 1:11 PM (GMT -6)   
Fistulas are notoriously difficult to successfully treat as you are learning. I don't have an answer for you but I do know of a UCer who continued to get abcesses (not fistulizing ones) after his surgery and finally decided to revert to a k-pouch. It's been 3-4 years now since he did that and all his abcess problems have gone away. The k-pouch as well as a permanent ostomy are probably options for you but I would pursue a highly qualified and recommended surgeon if you pursue it.

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