ENTERO-VAGINAL FISTULA.

Endoscopic Fistulotomy Heals a Y-Shaped Entero-Entero-Cutaneous Fistula

Patients may develop fistulas due to Crohn's disease or as a postoperative complication after restorative proctocolectomy with ileal pouch anal anastomosis. Unfortunately, the treatment of fistulas can be challenging. The current standard of care may include medical therapy and/or surgical intervention. However, endoscopic treatment for postoperative pouch complications has emerged as a valid a...

Entero-cutaneous-vesical fistula: an unusual presentation.

CASE REPORT A 75-year-old female patient presented with painless haematuria. IVP was normal and at cystoscopy a globular swelling found at the fundus of the bladder was resected. Histology revealed pan-mural inflammation with abundant submucosal oedema. The urothelium showed no evidence of dysplasia or malignancy. Two months later in the out patient clinic a periumbilical fistulous tract opened...

A rare approach to entero-atmospheric fistula

PATIENT Female, 60 FINAL DIAGNOSIS: Recurrent incisional hernia Symptoms: - MEDICATION - Clinical Procedure: Limited ileo-cecal resection Specialty: Surgery. OBJECTIVE Diagnostic/therapeutic accidents. BACKGROUND Iatrogenic entero-atmospheric fistula is devastating and its management is extremely difficult because it is often associated with fluid and electrolyte disturbances, nutritional...

Vesico-Vaginal Fistula

Carcinoma of the vagina presenting as a ruptured procidentia with an entero-vaginal fistula and prolapse of the small bowel.

The 74-year-old widow was admitted as an emergency with a 4-day history of faecal incontinence and loose stools. Whilst on the lavatory she had felt something 'give way' and this prompted her referral to Casualty. She had had one normal pregnancy and delivery 50 years previously. The menopause had occurred 24 years previously and she denied any postmenopausal bleeding or discharge. She admitted...