Complex rectovaginal fistulas are uncommon but can be very difficult to manage. There are various techniques for repair, including endorectal advancement flaps, transperineal and transvaginal approaches, and fistula plugs, with varying success rates from 50-60% for the primary procedure to >70% after multiple procedures (1, 2, 3). For women with inflammatory bowel disease, history of radiation,...

BACKGROUND AND OBJECTIVES Failure to mature (primary failure) of new fistulas remains a major obstacle to increasing the proportion of dialysis patients with fistulas. This failure rate is higher in women than in men, higher in older than in younger patients, and higher in forearm than in upper arm fistulas. These disparities in the frequency of failure to mature may be due in part to marginal ...

We describe a rare case of multiple coronary artery-left ventricular fistulas associated with apical hypertrophic cardiomyopathy in a 62 year asymptomatic old male admitted to our department for a perioperative evaluation of non cardiac surgery, already diagnosed for multiple coronary artery-left fistulae. He underwent transthoracic echocardiography and then to accelerated dipiridamole stress-e...

This study aimed to evaluate the diagnostic performance of different imaging techniques for preoperative detection pelvic fistula. Imaging and classification female genital abnormalities considerably floor fistulas are significant. We conducted a systematic review available literature highlight effectiveness radiological (X-RAY,U/S,CT,MRI) diagnosis types see limitations conventional scanning t...

Intracranial pial arteriovenous fistulas (AVFs) associated with multiple aneurysms of the main feeding arteries are very rare cerebrovascular lesions. We report a unique case of pial AVFs associated with four aneurysms of the feeding anterior cerebral artery (ACA) which presented as intracerebral hemorrhage (ICH), intraventricular hemorrhage (IVH) and spontaneous subarachnoid hemorrhage (SAH). ...