Treatment of intractable enterocutaneous fistula with an island pedicled anterolateral thigh flap in Crohn's disease--case report.

Attempts to treat intractable enterocutaneous fistulae secondary to Crohn's disease are challenging and have been associated with long delays. An island pedicled anterolateral thigh (ALT) flap has been shown to achieve adequate coverage of abdominal wall reconstruction. In this case, with the assistance of a well-vascularised flap and adequate medical supportive managements, the intractable enterocutaneous fistula was closed; it then healed progressively. Copyright 2009 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.