Peritoneo-cutaneous fistula secondary to skin excoriation from a large chronic incisional hernia.

Annals Academy of Medicine Dear Editor, Incisional hernias are common complications following abdominal surgery with an incidence of 2% to 20% after midline laparotomy.1 Umbilical fl uid discharge is, however, an unusual presenting complaint and may arise from structural abnormalities persisting from birth such as a patent urachus or secondary to instrumentation. Here we report a case of a peritoneo-cutaneous fi stula arising from a large incisional hernia. It is to our knowledge that this may be the fi rst case reported in literature.