ABSTRACT

A 64-year-old male patient had low anterior resection and diverting ileostomy for rectal cancer. Regarding to purulent drainage from the pelvic drain in the postoperative period, the patient was considered to have a controlled fistula. At the 36th postoperative day, the abdominal tip of pelvic drain was seen to come out through the lumen of diverting ileostomy. As the patient had no clinical and radiological signs of free perforation, he was successfully managed by conservative treatment with regular irrigation and gradual withdrawal of the drain.