Oroantral communication is a pathological communication between the oral and antral cavities. When oroantral communication is left open, epithelial tissue may develop namely oroantral fistula. The primary purpose is to close the communication and prevent sinusitis. OAF closures can be achieved using different flaps. The most widely employed flaps are vestibular flap, palatal flap and buccal fat...

CONTEXT Postoperative fistula formation is an important complication following pancreatic resections. OBJECTIVE A large volume of literature without uniform conclusions is available regarding various controversies about postoperative pancreatic fistulae. The term postoperative pancreatic fistula includes fistula resulting from any surgery involving pancreas, most commonly pancreaticoduodenect...

BACKGROUND Urethrorectal fistula is a rare and debilitating condition. Spontaneous closure is rarely effective, and appropriate management regarding timing of repair and surgical approach remains controversial. CASE PRESENTATION We present a case of an 18-year-old male found to have a urethrorectal fistula after diagnostic work up for unejaculation. The patient gradually developed recurrent u...

Gastrobronchial fistula is a rare condition as a complication following bariatric surgery. The management of this condition requires the active participation of a pulmonologist, who should be familiar with aspects of the main types of bariatric surgery. Herein, we report the cases of two patients who presented recurrent subphrenic and lung abscess secondary to fistula at the angle of His for an...

A 67-year-old female patient developed an esophagocutaneous fistula 4 mo after C4 and C5 partial corpectomy. Plain radiograph and computed tomography (CT) scan of cervical spine showed inferior screws pullout with plate migration that caused the esophageal perforation. Management included removal of anterior hardware, revision C4-5 corpectomy, iliac crest strut autograft and halo orthosis immob...

complications, inflammatory bowel disease, pelvic malignancy, pelvic irradiation, pelvic surgery, or other traumatic causes (1-4). Also, it may cause distressing symptoms including vaginal discharge with vaginitis, continual leakage of flatus and feces through the vagina, severe skin excoriation, as well as incontinence and dysparenunia. Treatment for an enterovaginal fistula depends on the loc...

CONTEXT Pancreaticobronchial fistula is a rare complication of severe pancreatitis. Various diagnostic methods have been described previously. CASE REPORT The presentation, diagnostic methods, management and 5-year follow-up of a 40-year-old woman with severe gallstone induced pancreatitis complicated by a pancreaticobronchial fistula were reviewed. Diagnosis was made on the endotracheal intu...

BACKGROUND Negative pressure drainage has been shown to be an effective treatment of chyle fistula. However, the optimal level of negative pressure has not been determined. We therefore conducted a prospective randomized trial to address this issue. METHODS In all, 21 patients with chyle fistula were randomly assigned to a high negative pressure suction (HNPS) group (-600 mmHg, n = 10) or low...

OBJECTIVE To study the effectiveness of octreotide in managing chyle fistula neck and its effect on duration of hospitalization. STUDY DESIGN Prospective study. METHODS A total of 19 patients with chyle fistula following neck dissection over a period of 10 years were included in the study. All the patients first underwent conservative management of the chyle leak, including suction drainage...

INTRODUCTION Cholecystoduodenal fistulas represent the most common type of bilioenteric fistulas while choledochoduodenal fistulas account for only 1-25% of cases. Bilioenteric fistula cases are associated with cholelithiasis and are rarely associated with duodenal peptic ulcers. Here we present the first case of Bouveret syndrome secondary to choledochoduodenal fistula complicating peptic duod...