Fístula enterocutánea por perforación secundaria a clavo centromedular femoral migrado en paciente con condrosarcoma: reporte de un caso

We present the case of a 71-year-old female patient with a left femoral intramedullary nail, who sustained a new femoral fracture and had a prior history of chondrosarcoma.She developed fecaloid discharge from the thigh, and imaging revealed sigmoid colon perforation secondary to intramedullary nail migration.The patient underwent laparotomy with nail removal and loop ostomy formation, and was discharged in improved condition after a 4-week course of intravenous antibiotic therapy.The management of pathologic fractures should focus on prevention and early detection of complications arising from pre-existing bone damage.