Wound, Ostomy and Continence Nurses Society (WOCN) Practice Exam

What type of fistula is associated with the colon?

1. entero fistula

2. cutaneous fistula

3. vesico fistula

4. colo fistula

The correct answer is: colo fistula

The correct response refers to a fistula that specifically involves the colon, which is crucial in understanding the various types of surgical and pathological communications that can arise. A colonic fistula, or colo fistula, is an abnormal connection between the colon and another organ or surface of the body, such as the skin or another part of the gastrointestinal tract. This type of fistula often occurs as a complication of diseases like inflammatory bowel disease, diverticulitis, or following surgical procedures. Identifying this particular type of fistula is essential in clinical practice, as it requires specific management and treatment strategies to address the underlying causes, maintain bowel function, and promote healing. Understanding the anatomy and physiology of the colon, as well as recognizing the signs and symptoms associated with a colo fistula, enables healthcare providers to effectively diagnose and manage patients presenting with this condition. The other types of fistulas mentioned do not specifically relate to the colon. For example, entero fistulas typically involve the small intestine, cutaneous fistulas may connect internal structures to the skin, and vesico fistulas involve connections between the bladder and other structures. Thus, the focus on the colon distinctly aligns with the terminology of a colo fistula, reinforcing the correct choice.