Before the use of chemotherapy and antibiotics, acute and chronic inflammation of Cowper's glands was a fairly common complication of gonorrhoea and non-gonococcal urethritis. These conditions were well reviewed by Harkness (1937), but they are now relatively uncommon. The following two cases were seen in the Special Treatment Centre at St. Bartholomew's Hospital. In both cases, fistulae existe...

Patients may develop fistulas due to Crohn's disease or as a postoperative complication after restorative proctocolectomy with ileal pouch anal anastomosis. Unfortunately, the treatment of fistulas can be challenging. The current standard of care may include medical therapy and/or surgical intervention. However, endoscopic treatment for postoperative pouch complications has emerged as a valid a...

A pseudoaneurysm of the ascending aorta is an unusual and potentially fatal complication after aortic surgical operations. TEE and CT scan are the investigations of choice. Surgical treatment is mandatory. We describe the successful management of a pseudoaneurysm of the ascending aorta, with aorto-sternal-cutaneous fistula requiring right axillary and femoral artery cannulation with Remote Acce...

Laparoscopic sleeve gastrectomy (LSG) has become a mainstream procedure in the management of obesity. Staple line leak is a challenging complication. We report a unique case of successfully treated leak after sleeve gastrectomy, presented ex novo 4 years later as a gastro-cutaneous fistula (GCF). Nothing similar was found in the literature. A 31-year-old woman underwent an LSG, complicated by a...

Negative pressure wound therapy (NPWT) is a well-established technique for managing the open abdominal wound. The decision to intentionally leave an incision may be required in aftermath of surgery intra-abdominal sepsis or where there concern regarding compartment syndrome (ACS). Untreated ACS following elective, emergency aortic aneurysm repair (AAA) associated with mortality rates up 60% [1]...

Chronic cutaneous non-healing fistulas very often are dehiscences of surgical or traumatic wounds that do not repair properly and progressively undergo intrafistular perifistular fibrosis. The fibrous tissue constitutes a natural barrier to the progression fistula process represents major cause chronicization even in context proper vascularization. microfractured autologous adipose graft allows...

A 44 year old male patient, non smoker, hypertensive was admitted with loss of consciousness followed by transient weakness of the right side of the body. He gave a past history of recurrent TIAs. On admission, he was fully conscious and oriented. Pulse 60/mt, BP 120/80 mm Hg. There were no cutaneous telangiectasias. There was no carotid bruit. CVS S1 S2 heard normally. Central nervous system e...

BACKGROUND AND AIM Appropriate treatment of perianal fistulas in Crohn's disease (CD) involves accurate anatomic evaluation. EUS is an accepted imaging method for this purpose. The aim of the current study was to evaluate the clinical and endosonographic characteristics of perianal fistula in CD and to assess its impact on therapy. METHODS All CD patients referred to the Sheba medical center ...

AIM To provide an overview of the medical literature on cutaneous fistulization in patients with hydatid disease (HD). METHODS According to PRISMA guidelines a literature search was made in PubMed, Medline, Google Scholar, and Google databases were searched using keywords to identify articles related to cutaneous fistulization of the HD. Keywords used were hydatid disease, hydatid cyst, cutan...