There are several varieties of bilioenteric fistulae. They are usually incidental findings, but once detected, various modalities can then be employed to further delineate the fistula. The fistulae usually arise as a complication of chronic duodenal ulcer disease, cholelithiasis or previous instrumentation to the biliary system. The presence of a fistula per se does not immediately equate to ne...

Manuscript received November 18, 2014; accepted November 22, 2014. Coils and Amplatzer plugs (St. Jude Medical, St. Paul, Minnesota) have been used to achieve closure in congenital fistulae (2,3); however, in the much larger diameter iatrogenic fistulae there has been 1 case described in which covered stents were used for closure (4). We describe a case of a large left anterior descending fistu...

Fistulae between the renal and gastrointestinal (GI) systems are rare, constituting less than one percent of all fistulous connections between the urinary and intestinal tracts.1 We present a patient with a two-month history of flank pain and fevers who was found on imaging to have a right renal calculus and emphysematous pyelonephritis associated with a renoduodenal fistula. We also present a ...

A 54 year old man with a staphylococcal sepsis developed staphylococcal pneumonia complicated by multiple pneumatoceles and bilateral tension pneumothoraces caused by bronchopleural fistulae. Excessive enlargement of the right sided pneumatoceles and a tension pneumothorax not improved by drainage led to mediastinal shift and compression of the right lung. Reversal of the mediastinal shift and ...

A 36-year-old man had congenital fistulae of the palpebral lobes of the lacrimal glands, with orifices bilaterally in the intermarginal strip of his upper eyelids near the external canthi. The left fistula was cystic and had become chronically inflamed. Because antibiotic therapy was unsuccessful, excision was necessary. Congenital fistulae are extremely rare, forming a lateral and tarsal group...

CONTEXT Treatment of pancreatic fistulae after pancreaticoduodenectomy is extremely important because it determines the patient's postoperative course. In particular, treatment of grade B cases should be conducted in a timely manner to avoid deterioration to grade C. OBJECTIVE We report the successful treatment of six cases of postoperative intractable, grade B pancreatic fistulae, in which f...

BACKGROUND Although the magnitude of obstetric fistulae (OF) is reported to have decreased in industrialised countries, it is still a major problem in developing countries especially the fistulae resulting from obstructed labour. Vesico-vaginal fistulae (VVF) are the most common and the most frequent type of urogenital fistulas. In most cases, surgery is required for treatment. The aim of this ...

BACKGROUND A vesicovaginal fistula is an abnormal fistulous tract extending between the bladder and the vagina that allows the continuous involuntary discharge of urine into the vaginal vault. In addition, the sequelae from these fistulae have a profound effect on the patients in view of their physical, psychological, and social dimensions. The treatment of vesicovaginal fistula is surgical in ...