Surgical repair of enterocutaneous fistulae in Crohn's disease may res
ult in large skin defects of the anterior abdominal wall. We present a
case in which a large defect was managed with reconstruction using a
pedicled rectus abdominis mycocutaneous flap in a single procedure. Th
e case highlights the technical challenge of such a case and the value
of a joint surgical approach between plastic and colorectal services.