Enterocutaneous fistula is an abnormal communication between bowel and skin. Most cases of enterocutaneous fistula (ECF) are iatrogenic and develop following abdominal surgeries. Other common causes are inflammatory bowel disease, malignancy, post radiation therapy, anastomotic breakdown. Less commonly, ECFs develop spontaneously as part of the disease process in Crohn's disease, diverticulitis, tuberculosis or enteric fever. We present a case of spontaneous enterocutaneous fistula due to tuberculosis at right iliac creast region posteriorly near ilial tubercle in flank, an uncommon site.

KEY WORDS Spontaneous ECF, Iliac creast- a rare site ECF

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Dr Girish D. Bakhshi

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