A 32 years, male, labourer had intermittent abdominal cramp for one year followed by appearance of multiple small hard lumps in the abdominal wall. The lumps were progressively increasing in size and some of them ruptured through the skin discharging yellowish semiliquid material, occasionally mixed with blood (Fig. 1). There was no history of hematochezia, alteration of bowel habit, vomiting, ...

Posterior communicating artery (PCoA) aneurysm-cavernous sinus fistulae are an extremely rare complication of head injury . The treatment of PCoA aneurysm-cavernous sinus fistulae has not been well described. A 27-year-old man was admitted with a retroocular bruit and blurred vision of the left eye seven months after a severe head injury. We report the angiographic appearance of a posterior com...

INTRODUCTION While the development of fistulae is a well-known complication of radiotherapy, such fistulae can often be challenging to manage. CASE PRESENTATION We describe the case of a 37 year old male who developed in succession a urethrocutaneous fistula to the thigh, a rectourethral fistula and a peritoneo-urethral fistula 35 years after radiotherapy for pediatric pelvic rhabdomyosarcoma...

The majority of enterocutaneous fistulae close spontaneously with supportive care. Nutritional support is an essential prerequisite to successful management and is frequently achieved parenterally. But the expense to sustain parenteral nutrition in these patients is significant and this may limit its availability in Developing Countries. We present a case of an enterocutaneous fistula that was ...

Intracranial dural arteriovenous fistulae (DAVF) are acquired fistulous communications between dural arterial branches and dural venous sinuses or cortical veins with the nidus located within the leaflets of the duramater. Dementia and Parkinsonism are amongst the rarest of clinical presentations in DAVFs and are important to diagnose early, being treatable with timely intervention. We present ...

While pleural effusions are common, those secondary to pancreaticopleural fistulae are rare, most often occurring in patients with a history of chronic pancreatitis or alcoholism [1]. In this case the fistula formed from an IPMN. These are extremely rare entities that represent 10% of pancreatic cysts. They can show varying degrees of dysplasia with recurrence being rare in noninvasive types (,...

A significant proportion of patients with severe intra-abdominal sepsis are managed by leaving the peritoneal cavity open in an attempt to control the infective process, regardless of aetiology. However, a considerable number of these patients develop enterocutaneous fistulae, which compound the clinical situation and delay closure of the peritoneal cavity. We propose a new method of dealing wi...

A 63 year old Asian woman who presented with three week's abdominal pain was found to have a hard right iliac fossa mass and rectal ulceration. Profuse rectal bleeding necessitated a laparotomy. An inflammatory paracaecal mass with fistulae involving appendix, small bowel, and bladder was excised with exteriorisation of the bowel ends. Microscopy showed invasive amoebae. Re-anastomosis was succ...

Perilymph fistulae are difficult to diagnose because they present with a wide variety of signs and symptoms, they are associated with many etiologies, and they often mimic other conditions. In this article, we describe a case of perilymph fistula that featured one of its more rare causes: acoustic trauma--specifically, damage from a loud blast from the siren of a fire engine. We also review the...

We describe a 47-year-old male patient who presented with symptomatic pulmonary hypertension in association with traumatic peri-renal arteriovenous (AV) fistulae. He developed symptoms and clinical evidence of pulmonary hypertension, and high-output right heart failure long after a left flank stabbing injury 16 years ago. Numerous AV fistulae were illustrated around the atrophic left kidney by ...