An ileosigmoid fistula: what is the diagnosis?
نویسندگان
چکیده
thickened wall of the distal sigmoid colon, an ileosigmoid fistula (Fig. A), and lymphadenopathy in the abdomen and pelvis with a maximum measurement of 4.0×2.6 cm. Barium enema revealed the two paths around the rectosigmoid junction. One was the usual sigmoid colon with remarkable mucosal abnormalities. The other was the ileosigmoid fistula Question: A 43-year-old man presented with diarrhea and hematochezia for 1 month prior to hospitalization. He had moderate fever, iron-deficiency anemia, and weight loss of 5 kg in the previous 2 weeks. Physical examination revealed a malnutrition status with a body weight index of 17.5 kg/ m. Neither superficial lymphadenopathy nor hepatosplenomegaly was found.
منابع مشابه
Ileosigmoid fistula and delayed ileal obstruction secondary to blunt abdominal trauma: a case report
INTRODUCTION Abdominal trauma is a source of significant mortality and morbidity. Bowel injury as a result of blunt abdominal trauma is usually evident within hours or days of the accident. CASE PRESENTATION A 38-year-old Caucasian Greek man presented with a subtle and delayed small bowel obstruction caused by a post-traumatic ileosigmoid fistula and ileal stricture four months after a road t...
متن کاملSequential Crohn's Ileitis, Ileosigmoidal Fistula, Segmental Sigmoid Polyposis, and Sigmoid Stricture: The Natural History.
BACKGROUND We have previously recognized segmental sigmoid polyps as an indicator of a fistula from Crohn's ileitis to the sigmoid or the proximal rectum. In the course of this study, we realized that many patients with this fistula had no sigmoid polyps, but the sigmoid was the site of marked inflammation and early or late stricture formation. Furthermore, in some patients with a stricture, th...
متن کاملSegmental sigmoid polyposis as a colonoscopic indicator of an ileosigmoid fistula in Crohn's ileitis.
BACKGROUND AND AIMS Ileosigmoid fistulas (ISFs) are frequently undiagnosed prior to surgery. This study was designed to describe a polyp or cluster of polyps limited to the sigmoid colon as a marker of ISF in patients with ileitis. This novel finding will increase a gastroenterologist's opportunity to detect them preoperatively and their prognostic implication of worsening ileitis. METHODS Th...
متن کاملIntestinal Obstruction and Ileocolic Fistula due to Intraluminal Migration of a Gossypiboma
Gossypiboma refers, as a term, to a retained surgical sponge. It is considered as a rare surgical complication which can occur despite precautions. We report a case of a 36-year-old woman who was admitted to our surgical department with symptoms of abdominal pain associated with episodes of nausea and vomiting that lasted for 2 months. Six months ago she had undergone a cesarean section in a pr...
متن کاملAn unusual synchronous ileosigmoid and ileoileal knotting: a case report
INTRODUCTION Ileosigmoid and ileoileal knotting are two rare entities. They usually present as acute abdomen and the diagnosis is established intraoperatively. The treatment is surgical and should be performed as soon as possible to decrease the incidence of perioperative mortality and morbidity. CASE PRESENTATION We report an unusual case of a 26-year-old Argentine man with ischemic necrosis...
متن کامل