Enterocutaneous fistula: Successful treatment of two cases with urinary bladder matrix xenograft

Introduction: Enterocutaneous fistula (ECF) represents a challenging clinical condition in surgery. Two cases of ECF are presented that were successfully treated with MatriStem, a porcine urinary bladder matrix xenograft application. Case Series: The cases were treated with a procedure involving curettage of the tract, followed by injection of a MatriStem slurry, and insertion of a rolled MatriStem graft. In both cases, the ECF ceased to drain bilious fluid. After a week, both patients began a liquid diet, and no recurrent fistula occurred after six months of follow-up. Conclusion: In this study, treatment of ECF using MatriStem resulted in successful clinical healing of the ECF. The use of biologically derived materials for ECF is a relatively new concept. There is precedent for using biological plugs with some reported examples of success, but use of porcine urinary bladder matrix is novel for this purpose. (This page in not part of the published article.) International Journal of Case Reports and Images, Vol. 6 No. 12, December 2015. ISSN – [0976-3198] Int J Case Rep Images 2015;6(12):730–733. www.ijcasereportsandimages.com Sasse et al. 730 CASE REPORT OPEN ACCESS Enterocutaneous fistula: Successful treatment of two cases with urinary bladder matrix xenograft Kent C. Sasse, David L. Warner