Gastrointestinal (GI) fistula is a well-recognized complication of acute pancreatitis (AP). However, it has been reported in limited literature. This study aimed to evaluate the incidence and outcome of GI fistulas in AP patients complicated with infected pancreatic or peripancreatic necrosis (IPN).Between 2010 and 2013 AP patients with IPN who diagnosed with GI fistula in our center were analy...

OBJECTIVE To present the experience in the operative management of labyrinthine fistula caused by cholesteatoma. METHODS The clinical charts of 16 patients who underwent surgical procedures for cholesteatoma complicated by labyrinthine fistula between 2003 and 2008 were reviewed retrospectively. In this period, 108 ears were operated for cholesteatoma. In each patient, the site and size of th...

Endovascular treatment has emerged as the primary treatment option for the management of spinal dural arteriovenous fistula (SDAVF). The goal of endovascular embolization is to achieve embolic penetration into the nidus and proximal segment of the draining vein. Though less invasive, the successful obliteration of fistula is achieved in 70 to 90% of the patients and recurrence of fistula is obs...

A gastrosplenic fistula is a rare complication of a gastric or splenic lesion. We report a case of Hodgkin's lymphoma nodular sclerosis involving the spleen that was complicated by spontaneous gastrosplenic fistula. The fistula was closed laparoscopically, and the patient underwent partial gastrectomy and gastric wall repair, followed by successful chemotherapy. This is also the first reported ...

BACKGROUND One of the rare complications of ileal neobladder after radical cystectomy is pouch-to-intestine fistula. There isn't a classic method to intraoperative diagnosis of small fistula. CASE PRESENTATION An entero-pouch fistula was occurred in a patient after radical cystectomy with ileal orthotopic pouch. Because of failed conservative management, the patient was candidate for surgery....

The aim of this review article is to review the technique of laparoscopic assisted anorectoplasty (LAARP), its modifications, indications, contraindications and outcomes for anorectal malformations (ARM). LAARP was first introduced by Willital in 1998 and developed by Georgeson in 2000. Many modifications have taken place to reduce complications and to provide better functional outcomes. Recto-...

BACKGROUND/AIMS Local pancreatic resections can avoid the unnecessary resection of the normal pancreatic parenchyma in comparison with standard pancreatic resection. However, the incidence of pancreatic fistula after local pancreatic resection is high, and still responsible for most morbidity and mortality. METHODOLOGY We reviewed 6 patients who underwent intraoperative pancreatography using ...

IMPORTANCE Chyle fistula is an uncommon complication of neck surgery. A variety of management strategies have been described, including diet restriction, parenteral nutrition, use of pressure dressings, and revision surgery. Octreotide has been used with success in patients with neck and thoracic chyle fistulas, but data regarding efficacy in neck chyle fistulas are lacking. OBJECTIVE To eval...

BACKGROUND Desmoid tumors that present as a part of Gardener's syndrome can present very difficult management problems. CASE PRESENTATION We report a case of intra-abdominal desmoid tumor causing distal small bowel obstruction that complicated the management of a more proximal enterocutaneous fistula from the jejunum. After failure of more conventional management options including imatinib, t...

Bronchial artery aneurysm (BAA) is a rare vascular phenomenon. This review highlights a case of a BAA that was complicated by the presence of a bronchial artery to pulmonary artery (BA-PA) fistula, consequently presenting a unique challenge to management. BAAs have a strongly reported risk of rupture resulting in life-threatening hemoptysis. Embolization has thus become routine for the manageme...