Extreme Small Bowel Enteroatmospheric Fistula

Techniques and cost effectiveness of enteroatmospheric fistula isolation .

UNLABELLED  Background. The following describes successful isolation of enteroatmospheric fistulae within a negative pressure wound therapy system (V.A.C.®, KCI, San Antonio, TX). METHODS An impermeable tubular structure was placed around the fistula with a dressing applied to the surrounding wound base, dressed with an impermeable drape and negative pressure, and then an ostomy applianc...

Hip Pain Secondary to Small Bowel Fistula to Pelvis

A 26-year old man presented to the emergency department for two months of worsening right hip and thigh pain. He complained of radicular pain from his buttocks to his calf and has difficulty bearing weight on his right leg. He denies a history of trauma, fever, prior surgery, or arthritis. In addition, he was being evaluated by a gastroenterologist for recurrent diarrhea. In the middle of his e...

Practical Lessons from the Small Bowel Bleeding Lesions: A Case Report on Small Bowel Cavernous Hemangioma

Open abdomen with concomitant enteroatmospheric fistula: validation, refinements, and adjuncts to a novel approach.

In our Trauma and Acute Care unit we have adopted and been using VAC therapy (KCI) for open abdomen management for a while, having had experience in 24 cases. In their experience, Layton et al.1 describe their simplistic but brilliant in design technique for managing the challenging coexistence of open abdomen and intestinal fistula in a trauma patient setting. The aim of diverting the fistula ...

Bedside management of an abdominal wound containing an enteroatmospheric fistula: a case report.

Enteroatmospheric fistulae (EAF) - unnatural connections between the bowel and the outside environment - are a feared complication of major abdominal operations. EAF pose a life-threatening risk to patients already weakened by surgical insult by altering fluid and electrolyte balance and fostering malnutrition. The authors describe a method of wound management for a 64-year-old morbidly obese...