We herein report a case of unsuturable tracheoesophageal fistula developed after chemotherapy of a mediastinal lymphoma. Esophageal exclusion was primary performed to prevent continued contamination of the respiratory tract. In a second stage procedure the fistula was patched with the esophageal posterior wall and the digestive tract was restored by a substernal colic bypass. This case leads to...

PURPOSE Recently, a number of studies have reported positive results from the nonoperative management of fistula-in-ano in infancy, although it has not been of use in all patients. The purpose of this study was to discern the effective treatment methods of fistula-in-ano in infants. METHODS A retrospective review was done of 310 children who required operative management for fistula-in-ano or...

BACKGROUND Obstetric fistula is a resultant effect of prolonged obstructed labour. The best surgical management of simple uncomplicated fistula determines the outcome of care. OBJECTIVE To compare outcome of uncomplicated mid-vaginal fistula between vaginal and abdominal route of repair. MATERIALS AND METHOD This was a hospital based retrospective study conducted at the University College H...

The aim of this study was to establish the incidence, risk factors, and the management of pharyngocutaneous fistula (PCF) after primary and salvage total laryngectomy. A retrospective, match-paired analysis of 86 patients who developed fistula after total laryngectomy was carried out and compared with a control group of 86 patients without fistula, randomly selected from a pool of 352 total lar...

Introduction: Bouveret syndrome is a rare presentation of gallstone ileus characterized by passage of a gallstone through a cholecystoenteric fistula and impaction of the gallstone within the duodenum, causing proximal small bowel obstruction. Most patients require surgery with duodenotomy and stone extraction. Unfortunately, duodenal surgery has a high risk for surgical complications, includin...

Gastrointestinal (GI) fistulas are an uncommon but serious complication. Following diagnosis, management strategies may have to be adapted frequently to address changes in fistula output, surrounding skin or wound condition, overall patient clinical and nutritional status, mobility level, and body contours. Following a motor vehicle accident, a 49-year-old man with a body mass index of 36.8 and...

The management of the open abdomen, particularly when complicated by the presence of intestinal fistula, remains a significant challenge of modern trauma care. Although several approaches have been proposed, these varied and complex cases defy the application of a universal approach to local therapy. Ultimately, abdominal closure is desired but is not always possible. Accordingly, surgeons must...

Biliarycutaneous fistula (BCF) is a rare complication of blunt abdominal trauma. Although, many techniques have been developed so far, management of BCF still remains an extremely challenging procedure. Management of biliarycutaneous fistula requires a complex approach and collaboration of varying medical specialists. Poor general condition of the patient complicated with sepsis, past history o...

Perirectal abscesses and fistulas represent the acute and chronic manifestations of the same disease process, an infected anal gland. They have beleaguered patients and physicians for millennia. A thorough understanding of the anatomy and pathophysiology of the disease process is critical for optimal diagnosis and management. Abscess management is fairly straightforward, with incision and drain...

Coronary artery fistulas are a very rare cardiac anomaly. The reported Incidence of coronary artery fistula is 0.10.2% in all patients undergoing coronary angiography [1]. 26% of the patients with coronary artery fistula have associated coronary artery aneurysm. Giant coronary artery aneurysms with diameter exceeding 50 mm are extremely rare. As the aneurysm enlarges, complications related to v...