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Case Reports in Emergency Medicine
Volume 2011, Article ID 479209, 3 pages
Case Report

Recto-Femoral Fistula Presenting as Emphysematous Cellulitis of the Knee: A Case Report & Literature Review

Third Department of Orthopaedics, University of Athens Medical School, Athens, Greece

Received 15 June 2011; Accepted 13 July 2011

Academic Editors: E. Baldassarre, A. K. Exadaktylos, M. Sand, and H. P. Wu

Copyright © 2011 P. K. Karampinas et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


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.