939 Enterovaginal Fistula; Could It Be Gallstones?

نویسندگان

چکیده

Abstract This is a rare presentation of an impacted gallstone leading to ileovaginal fistula. A 76-year old female presented with 4 week history faecal vaginal discharge and weight loss on background endometrial cancer treated chemotherapy radiotherapy 9 years ago. She was initially investigated pelvc MRI which showed collection in the stump. further abdominal pelvic CT scan revealed cholecystoduodenal fistula complicated by at point impaction. The patient underwent laparotomy small bowel resection anastomosis. admitted intensive care unit post operatively recovered well. There are no previous reports caused ileus. case highlights complication gallstones who has undergone radiotherapy.

برای دانلود باید عضویت طلایی داشته باشید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Could it be a secondary hypertension?

• No family history of hypertension in a thin child • Age younger than 10 years and prepubertal stage • Acute rise in blood pressure previously normal • Severe hypertension (SBP/DBP ≥ 99th percentile plus 5 mmHg) • Mild hypertension (SBP/DBP ≥ 95th percentile plus 5 mmHg) in systemic disease • Nocturnal hypertension, reduced nocturnal dipping or diastolic hypertension at 24-hour BP monitoring •...

متن کامل

Chronic heel pain: It could be tuberculosis.

INTRODUCTION Heel pain is a common presentation at a primary care setting. The majority of these cases are benign and self limiting in nature. Common differential diagnoses include plantar fasciitis and peroneal muscle sprains. However, certain conditions-if undetected early-may cause significant morbidity to the patient. A high index of suspicion and early referral for further investigations a...

متن کامل

Organic Farming by Using Different Desert Soiles Could it be an Alternative to Fertilizers?

It is shown that Saharan soil has the potential of producing bioavailable iron when illuminated with visible light and also it contains some essential macronutrient and micronutrient elements. In this study, these properties of the desert soil were tested on the certified wheat cultivars (Triticum aestivum L. var. gonen 98) using Hewitt nutrient solution, illuminated and non-illuminated soil so...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

ژورنال

عنوان ژورنال: British Journal of Surgery

سال: 2021

ISSN: ['1365-2168', '0007-1323']

DOI: https://doi.org/10.1093/bjs/znab134.180