1,492 results on '"Intestinal Fistula diagnostic imaging"'
Search Results
2. Ruptured giant splenic artery aneurysm with an exceptional concurrent gastric and transverse colonic fistula: A rare case report.
- Author
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Zain AM, Sires AM, Al-Jawad M, and Alkanj H
- Subjects
- Humans, Male, Middle Aged, Colonic Diseases surgery, Colonic Diseases etiology, Colonic Diseases diagnostic imaging, Gastric Fistula etiology, Gastric Fistula surgery, Gastric Fistula diagnosis, Intestinal Fistula surgery, Intestinal Fistula diagnostic imaging, Intestinal Fistula diagnosis, Intestinal Fistula complications, Colon, Transverse surgery, Colon, Transverse diagnostic imaging, Splenic Artery diagnostic imaging, Splenic Artery surgery, Aneurysm, Ruptured surgery, Aneurysm, Ruptured complications, Aneurysm, Ruptured diagnostic imaging, Aneurysm, Ruptured diagnosis
- Abstract
Introduction: Splenic artery aneurysm (SAA) is a focal dilation of the splenic artery with varying etiologies including atherosclerosis, arteritis, or trauma. Giant SAAs with a diameter of 10 cm is rare and can lead to severe complications like rupture and fistulas. Therefore, an accurate and timely diagnosis and treatment are important., Patient Concerns: A 50-year-old male presented with acute epigastric pain and hemorrhagic shock. Considering his symptoms and examination, ultrasound, multi-slice computed tomography and digital subtraction angiography results, a ruptured giant splenic artery aneurysm complicated with an exceptional gastric and transverse colonic fistula was suspected., Diagnosis: Ruptured giant splenic artery aneurysm., Interventions: Left anterolateral thoracotomy to control the severe aortic bleeding just above the diaphragm, aneurysmectomy, splenectomy, and closing the gastric and transverse colon perforations., Outcomes: Multi-slice computed tomography demonstrated the presence of splenic artery aneurysm in the distal third measuring (10 × 12 cm) in diameter with a true lumen measuring (7 × 3.5 cm) and a large hematoma extending to the greater and lesser gastric curvature. Intraoperatively, a large pulsating mass was detected occupying the epigastrium and the left hypochondrium with severe adhesions with the stomach and transverse colon., Conclusion: Giant SAA with a diameter of 10 cm is rare and is associated with severe complications. Therefore, successful treatment of splenic artery aneurysms involves prompt diagnosis, immediate surgical intervention to control bleeding, and tailored approaches like thoracotomy to control the thoracic aorta for better hemodynamic stabilization, aiming to eliminate the aneurysm and reduce complications effectively., Competing Interests: The authors have no funding and conflicts of interest to disclose., (Copyright © 2024 the Author(s). Published by Wolters Kluwer Health, Inc.)
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- 2024
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3. Temporary Effect of Hepaticoduodenal Fistula Embolisation.
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Palmier M and Roussel E
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- Humans, Male, Vascular Fistula therapy, Vascular Fistula diagnostic imaging, Vascular Fistula etiology, Treatment Outcome, Hepatic Artery diagnostic imaging, Aged, Female, Embolization, Therapeutic methods, Intestinal Fistula etiology, Intestinal Fistula diagnostic imaging, Intestinal Fistula therapy, Intestinal Fistula surgery
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- 2024
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4. Endovascular Management of Aortic Stump Blowout by Parallel Grafting and Coil Embolization of Visceral Aorta.
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Shafique H, Quaye K, Cox MW, Long CA, and Williams ZF
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- Humans, Male, Aged, Treatment Outcome, Aortography, Computed Tomography Angiography, Aorta, Abdominal diagnostic imaging, Aorta, Abdominal surgery, Embolization, Therapeutic instrumentation, Blood Vessel Prosthesis Implantation instrumentation, Blood Vessel Prosthesis Implantation adverse effects, Endovascular Procedures instrumentation, Vascular Fistula diagnostic imaging, Vascular Fistula etiology, Vascular Fistula surgery, Vascular Fistula therapy, Aortic Aneurysm, Abdominal surgery, Aortic Aneurysm, Abdominal diagnostic imaging, Blood Vessel Prosthesis, Intestinal Fistula diagnostic imaging, Intestinal Fistula etiology, Intestinal Fistula surgery, Intestinal Fistula therapy
- Abstract
Aortic graft and endograft infections remain a significant source of morbidity and mortality after abdominal aortic aneurysm repair. With graft excision and extra-anatomic bypass, an infrarenal aortic stump remains which can have suture line dehiscence and catastrophic stump blowout. Treatment of this is extremely challenging, especially for severely co-morbid patients who cannot undergo major surgery, or in patients with a hostile abdomen. We present a case study of a 74-year-old male found to have an aortoenteric fistula (AEF). This case broadens operative options for this type of patient population by demonstrating an endovascular technique for addressing aortic stump blowout by parallel grafting and coil embolization of the visceral aorta., Competing Interests: Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
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- 2024
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5. Profuse diarrhea after percutaneous change of a computed tomography-guided gastrostomy: endoscopic closure of a colocutaneous fistula.
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Al Khatib A, Bertrand A, Duboc H, Bonsack O, Coffin B, and Soliman H
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- Humans, Male, Colonic Diseases surgery, Colonic Diseases etiology, Endoscopy, Gastrointestinal methods, Female, Middle Aged, Gastrostomy adverse effects, Gastrostomy methods, Intestinal Fistula etiology, Intestinal Fistula surgery, Intestinal Fistula diagnostic imaging, Tomography, X-Ray Computed, Cutaneous Fistula etiology, Cutaneous Fistula surgery, Cutaneous Fistula diagnostic imaging, Diarrhea etiology
- Abstract
Competing Interests: The authors declare that they have no conflict of interest.
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- 2024
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6. Diagnostic Accuracy of Intestinal Ultrasound in the Detection of Intra-Abdominal Complications in Crohn's Disease: A Systematic Review and Meta-Analysis.
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Pruijt MJ, de Voogd FAE, Montazeri NSM, van Etten-Jamaludin FS, D'Haens GR, and Gecse KB
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- Humans, Constriction, Pathologic etiology, Constriction, Pathologic diagnostic imaging, Sensitivity and Specificity, Intestinal Fistula etiology, Intestinal Fistula diagnostic imaging, Crohn Disease complications, Crohn Disease diagnostic imaging, Ultrasonography methods
- Abstract
Background: Crohn's disease [CD] is frequently associated with the development of strictures and penetrating complications. Intestinal ultrasound [IUS] is a non-invasive imaging modality ideal for point-of-care assessment. In this systematic review and meta-analysis we provide a current overview on the diagnostic accuracy of IUS and its advanced modalities in the detection of intra-abdominal complications in CD compared to endoscopy, cross-sectional imaging, surgery, and pathology., Method: We conducted a literature search for studies describing the diagnostic accuracy of IUS in adult patients with CD-related intra-abdominal complications. Quality of the included studies was assessed with the QUADAS-2 tool. Meta-analysis was performed for both conventional IUS [B-mode] and oral contrast IUS [SICUS]., Results: Of the 1498 studies we identified, 68 were included in this review and 23 studies [3863 patients] were used for the meta-analysis. Pooled sensitivities and specificities for strictures, inflammatory masses, and fistulas by B-mode IUS were 0.81 and 0.90, 0.87 [sensitivities] and 0.95, and 0.67 and 0.97 [specificities], respectively. Pooled overall log diagnostic odds ratios were 3.56, 3.97 and 3.84, respectively. Pooled sensitivity and specificity of SICUS were 0.94 and 0.95, 0.91 and 0.97 [sensitivities], and 0.90 and 0.94 [specificities], respectively. The pooled overall log diagnostic odds ratios of SICUS were 4.51, 5.46, and 4.80, respectively., Conclusion: IUS is accurate for the diagnosis of intra-abdominal complications in CD. As a non-invasive, point-of-care modality, IUS is recommended as the first-line imaging tool if there is a suspicion of CD-related intra-abdominal complications., (© The Author(s) 2024. Published by Oxford University Press on behalf of European Crohn’s and Colitis Organisation.)
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- 2024
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7. Diagnostic accuracy of abdominal contrast-enhanced multi-slice spiral CT after oral diluted iodide in a time segment for gastrointestinal fistula in patients with severe acute pancreatitis.
- Author
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Huang L, Zhou G, Wang XT, Li GG, and Li GY
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- Humans, Male, Female, Middle Aged, Retrospective Studies, Tomography, Spiral Computed methods, Aged, Adult, Administration, Oral, Intestinal Fistula diagnostic imaging, Reproducibility of Results, Contrast Media, Pancreatitis diagnostic imaging, Sensitivity and Specificity
- Abstract
Purpose: To evaluate the diagnostic accuracy of abdominal contrast-enhanced multi-slice spiral CT after oral diluted iodide in a time segment (post-ODI ACE-MSCT) for gastrointestinal fistula (GIF) in severe acute pancreatitis (SAP)., Materials and Methods: Patients with SAP who underwent both post-ODI ACE-MSCT and endoscopy/surgery from 2017 to 2023 were continuously retrospectively involved. Their demographic information and clinical features were recorded prospectively in an in-hospital database. Using endoscopy/surgery results as the reference standard, the sensitivity, specificity, positive predictive value, negative predictive value, and accuracy of post-ODI ACE-MSCT for diagnosing GIF in SAP were calculated by a four-cell table. The consistency of the two diagnostic methods was evaluated by the Kappa test and McNemar's test., Results: Using endoscopy/surgery as the reference standard, a total of 86 cases were divided into the GIF group (N = 52) and the non-GIF group (N = 34). Among the 52 cases of GIF, 88.5% (46/52) cases had a positive result and 11.5% (5/52) cases had a negative result of post-ODI ACE-MSCT for GIF. Among the 34 cases of non-GIF, 2.9% (1/34) case had a positive result and 97.1% (33/34) cases had a negative result of post-ODI ACE-MSCT for GIF. Post-ODI ACE-MSCT had a sensitivity of 88.5% (95% CI 75.9%-95.2%), a specificity of 97.1% (95% CI 82.9%-99.8%), a positive predictive value of 97.9% (95% CI 87.3%-99.9%), a negative predictive value of 84.6% (95% CI 68.8%-93.6%), and an accuracy of 91.9% (83.4%-96.4%). The kappa value was 0.834, and P < 0.001 by McNemar's test. There were no significant differences in diagnostic test characteristics between the two modalities., Conclusion: Post-ODI ACE-MSCT can diagnose GIF in SAP in a simple, noninvasive, and accurate way, and can provide earlier imaging evidence for clinical diagnosis and treatment., (© 2024. The Author(s) under exclusive licence to Japan Radiological Society.)
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- 2024
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8. Fluorescence navigation surgery for sigmoid colon diverticulitis with adjacent organ fistula: ureteral navigation using a fluorescent ureteral catheter and blood flow evaluation by indocyanine green - a video vignette.
- Author
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Tamura K, Fujimoto T, Nagayoshi K, Mizuuchi Y, Ohuchida K, and Nakamura M
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- Humans, Urinary Catheters, Colon, Sigmoid surgery, Colon, Sigmoid blood supply, Colon, Sigmoid diagnostic imaging, Sigmoid Diseases surgery, Sigmoid Diseases etiology, Sigmoid Diseases diagnostic imaging, Male, Ureter surgery, Ureter diagnostic imaging, Coloring Agents, Female, Surgery, Computer-Assisted methods, Regional Blood Flow, Indocyanine Green, Diverticulitis, Colonic surgery, Diverticulitis, Colonic complications, Diverticulitis, Colonic diagnostic imaging, Intestinal Fistula surgery, Intestinal Fistula etiology, Intestinal Fistula diagnostic imaging
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- 2024
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9. Upper gastrointestinal bleeding and Rigler triad.
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Fernández-de la Varga M, Pérez Valle I, Ordieres Díaz C, Gejo Benéitez Á, Amor Martín P, Álvarez Posadilla M, Fernández Cadenas F, and Huergo Fernández A
- Subjects
- Humans, Male, Aged, 80 and over, Ileus etiology, Ileus surgery, Ileus diagnostic imaging, Intestinal Obstruction etiology, Intestinal Obstruction surgery, Fatal Outcome, Intestinal Fistula complications, Intestinal Fistula surgery, Intestinal Fistula diagnostic imaging, Biliary Fistula complications, Biliary Fistula diagnostic imaging, Biliary Fistula etiology, Biliary Fistula surgery, Gastrointestinal Hemorrhage etiology, Gallstones complications, Gallstones surgery
- Abstract
Gallstone ileus is a rare complication of cholelithiasis, characterized by mechanical bowel obstruction due to a biliary calculus originating from a bilioenteric fistula. The Rigler triad, consisting of aerobilia, ectopic gallstone, and intestinal obstruction, is rarely observed in its complete form. We present the case of a 92-year-old male with a history of acute lithiasic cholecystitis who presented to the Emergency department with acute epigastric pain. Initial evaluation revealed gallbladder dilatation, gallstones, and gallbladder wall thickening suggestive of acute cholecystitis. During hospitalization, the patient experienced an episode of hematemesis, leading to the diagnosis of a cholecystoduodenal fistula and a large blood clot in the duodenal bulb. Further imaging showed an ectopic gallstone causing small bowel obstruction. The patient underwent urgent surgery for stone extraction, followed by endoscopic intervention for the bleeding vessel identified at a subsequent gastroscopy. Unfortunately, the patient had a poor postoperative course and passed away seven days later. This case report highlights the exceptional occurrence of both the Rigler triad and upper gastrointestinal bleeding in a patient with gallstone ileus. Surgical intervention is crucial for the initial resolution of intestinal obstruction, followed by cholecystectomy and repair of the bilioenteric fistula. Awareness of these rare presentations is important for timely diagnosis and appropriate management of this uncommon complication of cholelithiasis.
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- 2024
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10. Like a Rolling (Gall)Stone: Optimal Treatment of Gallstone Obstruction of the Sigmoid Colon.
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Pesce A, Lauro A, Gonella Pacchiotti C, D'Andrea V, Fabbri N, Bertasi M, and Feo CV
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- Humans, Female, Aged, 80 and over, Intestinal Obstruction etiology, Intestinal Obstruction surgery, Sigmoid Diseases surgery, Sigmoid Diseases etiology, Sigmoid Diseases complications, Colon, Sigmoid surgery, Colon, Sigmoid diagnostic imaging, Colon, Sigmoid pathology, Intestinal Fistula surgery, Intestinal Fistula diagnostic imaging, Intestinal Fistula complications, Gallstones complications, Gallstones surgery
- Abstract
Background: Sigmoid gallstone ileus is a rare complication of cholelithiasis, accounting for 1-4% of all cases of large-bowel obstruction. This is a highly morbid, and often fatal, condition due to its challenging diagnosis and late presentation., Case Presentation: We report a case of a 90-year-old woman admitted to Emergency Department with abdominal pain and large-bowel obstruction due to a 6 cm gallstone lodged in a diverticulum of the proximal sigmoid colon as a consequence of a cholecysto-colonic fistula. Colonoscopy was deferred due to gallstone size carrying a high possibility of failure. The patient underwent urgent laparotomy with gallstone removal via colotomy. The cholecystocolonic fistula was left untreated. The post-operative course was uneventful; the patient was discharged on 6th post-operative day., Conclusion: A multidisciplinary discussion between endoscopists and surgeons is often needed to choose the best therapeutic option, especially in high-risk patients., (© 2024. The Author(s).)
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- 2024
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11. Temporizing stent graft for aortoenteric fistula with massive gastrointestinal hemorrhage.
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Patel RM, Bye MA, and Batista PM
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- Humans, Male, Middle Aged, Treatment Outcome, Fatal Outcome, Reoperation, Aneurysm, False surgery, Aneurysm, False diagnostic imaging, Aneurysm, False etiology, Hemodynamics, Stents, Intestinal Fistula surgery, Intestinal Fistula diagnostic imaging, Intestinal Fistula etiology, Vascular Fistula surgery, Vascular Fistula diagnostic imaging, Vascular Fistula etiology, Blood Vessel Prosthesis Implantation instrumentation, Blood Vessel Prosthesis Implantation adverse effects, Endovascular Procedures instrumentation, Endovascular Procedures adverse effects, Gastrointestinal Hemorrhage etiology, Gastrointestinal Hemorrhage surgery, Blood Vessel Prosthesis, Aortic Diseases surgery, Aortic Diseases diagnostic imaging, Aortic Diseases physiopathology
- Abstract
Objectives: We present a case of a 59-year-old male with an actively bleeding aortoenteric fistula (AEF) that was temporized using an endovascular stent prior to staged open reconstruction., Methods: Verbal informed consent was given by the patient's family for publication of this case report. The patient presented with pulseless electrical activity secondary to hemorrhagic shock due to a massive gastrointestinal bleed. His past surgical history included an aortobifemoral bypass (ABFB) that subsequently underwent extra-anatomic reconstruction with right axillofemoral artery bypass for right femoral infected pseudoaneurysm. Two months prior to presentation, he underwent a second revision with in-situ reconstruction for left limb graft infection. CTA now demonstrated actively bleeding AEF. He was emergently treated with endovascular stenting. Once stabilized, a two-stage revision with extra-anatomic bypass and aortic stump closure for management of his AEF was performed., Result: The patient was adequately stabilized using endovascular techniques followed by two-stage revision but unfortunately expired secondary to septic shock 20 days postoperatively., Conclusion: This case highlights the utility of endovascular stent graft to successfully obtain hemodynamic stability and optimization prior to open repair of AEFs., Competing Interests: Declaration of conflicting interestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
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- 2024
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12. Revascularization and Digestive Tract Repair in Secondary Aortoenteric Fistula Using a Single-Center in Situ Revascularization Strategy.
- Author
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Akamatsu D, Serizawa F, Umetsu M, Suzuki S, Goto H, Unno M, and Kamei T
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- Male, Humans, Treatment Outcome, Blood Vessel Prosthesis adverse effects, Retrospective Studies, Duodenum surgery, Intestinal Fistula diagnostic imaging, Intestinal Fistula etiology, Intestinal Fistula surgery, Aortic Diseases diagnostic imaging, Aortic Diseases surgery, Aortic Diseases complications, Blood Vessel Prosthesis Implantation adverse effects, Blood Vessel Prosthesis Implantation methods, Vascular Fistula diagnostic imaging, Vascular Fistula etiology, Vascular Fistula surgery
- Abstract
Background: Information regarding optimal revascularization and digestive tract repair in secondary aortoenteric fistula (sAEF) remains unclear. Thus, reporting treatment outcomes and presenting comprehensive patient details through a structured treatment approach are necessary to establish a treatment strategy for this rare, complex, and fatal condition., Methods: We performed a single-center retrospective review of consecutive sAEF managed based on our in situ revascularization and intestinal repair strategy. The primary endpoint of this study was all-cause mortality, and secondary endpoints were the incidence of in-hospital complications and midterm reinfections., Results: Between 2007 and 2020, 16 patients with sAEF, including 13 men (81%), underwent in situ revascularization and digestive tract repair. The median follow-up duration for all participants was 36 (interquartile range, 6-62) months. Among the participants, 81% (n = 13), 13% (n = 2), and 6% (n = 1) underwent aortic reconstruction with rifampin-soaked grafts, unsoaked Dacron grafts, and femoral veins, respectively. The duodenum was the most commonly involved site in enteric pathology (88%; n = 14), and 57% (n = 8) of duodenal breaks were repaired by a simple closure. Duodenum's second part-jejunum anastomosis was performed in 43% of patients (n = 6), and 19% of the patients (n = 3) died perioperatively. In-hospital complications occurred in 88% patients (n = 14), and the most frequent complication was gastrointestinal. Finally, 81% patients (n = 13) were discharged home. Oral antibiotics were administered for a median duration of 5.7 months postoperatively; subsequently, the participants were followed up carefully. Reinfection was detected in 6% of the patients (n = 1) who underwent reoperation without any complications. The 1-year and 3-year overall survival rates of participants were 75% (n = 12) and 75% (n = 9), respectively, and no sAEF-related deaths occurred, except perioperative death., Conclusions: Surgical intervention with contemporary management based on our vascular strategy and digestive tract procedure may be a durable treatment for sAEF., (Copyright © 2023 The Author(s). Published by Elsevier Inc. All rights reserved.)
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- 2024
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13. A rare form of enterovesical fistula: Appendicovesical fistula.
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Erkal Tonkaz D and Tonkaz M
- Subjects
- Humans, Intestinal Fistula complications, Intestinal Fistula diagnostic imaging, Intestinal Fistula surgery, Urinary Bladder Fistula diagnostic imaging, Urinary Bladder Fistula surgery
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- 2024
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14. Treating a Bypass with Bypass Surgery: Repair of a Duodeno-sigmoid Fistula Complicating Acute Diverticulitis.
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Ferent IC, Lauro A, Rinaldi V, Frattaroli S, Varanese M, Saullo P, and Caronna R
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- Humans, Colon, Sigmoid, Gastroscopy adverse effects, Duodenum, Diverticulitis, Fistula complications, Fistula surgery, Diverticulitis, Colonic complications, Diverticulitis, Colonic diagnostic imaging, Diverticulitis, Colonic surgery, Intestinal Fistula diagnostic imaging, Intestinal Fistula etiology, Intestinal Fistula surgery
- Abstract
Diverticular disease is common in Western countries; one-third of patients with diverticular disease develop diverticulitis during their lifetime of whom 5% may experience serious complications. We describe a rare complication of diverticulitis: a duodeno-colic fistula in a patient with an elongated sigmoid colon (dolicosigma). The patient complained of abdominal pain, diarrhea, weight loss, and feculent vomiting. Radiological studies and gastroscopy demonstrated a fistula between the second portion of the duodenum and the sigmoid colon. Curative surgery cured the fistula and completely resolved its associated signs and symptoms., (© 2024. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.)
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- 2024
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15. Gallstone ileus due to cholecystoenteric fistula accompanied by diabetes mellitus.
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Xu A, Kong C, and Li J
- Subjects
- Humans, Gallstones complications, Gallstones diagnostic imaging, Gallstones surgery, Intestinal Obstruction complications, Ileus complications, Ileus diagnostic imaging, Diabetes Mellitus, Fistula, Intestinal Fistula complications, Intestinal Fistula diagnostic imaging
- Abstract
Competing Interests: Declaration of Competing Interest The authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this manuscript.
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- 2024
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16. A Rare Case of Retroperitoneal Abscess Caused by Nephro-Colic Fistula Resulting from Staghorn Calculus.
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Thomas J, Deleuze C, and Lemaitre J
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- Female, Humans, Aged, Abscess complications, Staghorn Calculi complications, Colic complications, Kidney Calculi, Abdominal Abscess diagnostic imaging, Abdominal Abscess etiology, Intestinal Fistula diagnostic imaging, Intestinal Fistula etiology, Intestinal Fistula surgery
- Abstract
BACKGROUND Nephro-colic fistulas are uncommon, generally caused by local inflammation, trauma, or neoplasia affecting the kidney or the colon. Their association with a coralliform stone is described in a few case reports, but their management is difficult and differs quite a lot, depending on the clinical situation. We report an atypical clinical case of a reno-colic fistula associated with a staghorn calculus. This case adds to the literature an iconography rarely found. CASE REPORT A 68-year-old woman presented to the Emergency Department with respiratory symptoms and chronic abdominal pain. The biological results showed a high inflammatory syndrome. The radiological assessment revealed a retroperitoneal and left retro-renal abscess, attributed to a left nephro-colic fistula associated with the partial passage of a lithiasis within the colonic lumen. Colonoscopy confirmed the diagnosis. Multiple recurrences of diverticulitis in this region could be the origin of the complication. First, the patient was treated with antibiotic therapy and radiological drainage. Second, she benefited from a left nephrectomy, left segmental colectomy, and splenectomy. The clinical and radiological evolution were favorable after surgery. The follow-up was disrupted by hospitalizations in the Cardiology Department for cardiac decompensation. CONCLUSIONS Kidney stones along with local inflammatory phenomena can be the cause of a nephro-colic fistula. Due to the lack of guidelines in such cases, their diagnosis and management are difficult to ascertain. Surgery is the right course of treatment.
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- 2024
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17. Massive gastrointestinal bleed due to a primary aortoenteric fistula.
- Author
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Stanley B, Nguyen V, Sivasuthan G, and Burstow M
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- Male, Humans, Tomography, X-Ray Computed, Gastrointestinal Hemorrhage therapy, Gastrointestinal Hemorrhage surgery, Vascular Fistula complications, Vascular Fistula diagnostic imaging, Intestinal Fistula complications, Intestinal Fistula diagnostic imaging, Intestinal Fistula surgery, Aortic Diseases complications, Aortic Diseases diagnostic imaging
- Abstract
A man in his 60s attended emergency for acute-onset abdominal pain and haematemesis. Requiring resuscitation, a CT abdomen/pelvis revealed a primary aortoenteric fistula actively bleeding into the duodenum. His background included a previous severe Q-fever infection and a heavy smoking history. Despite attempts at resuscitation and an emergent surgical attempt at haemostasis, the patient did not survive the massive gastrointestinal haemorrhage.Even in less severe cases, management of aortoenteric fistulas is tricky. Blood cultures and angiographic imaging are important investigations in guiding surgical approach. The pathology tends to have a significant rate of mortality even at tertiary-level vascular surgical centres., Competing Interests: Competing interests: None declared., (© BMJ Publishing Group Limited 2024. No commercial re-use. See rights and permissions. Published by BMJ.)
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- 2024
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18. [Primary aortoduodenal fistula - a rare cause of life-threatening upper gastrointestinal bleeding].
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Ahmad Al-Saffar H, Mariusdóttir E, Magnusson J, and Öberg S
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- Humans, Gastrointestinal Hemorrhage etiology, Gastrointestinal Hemorrhage surgery, Intestinal Fistula diagnosis, Intestinal Fistula diagnostic imaging, Aortic Diseases diagnosis, Aortic Diseases diagnostic imaging, Duodenal Diseases complications, Duodenal Diseases diagnosis, Duodenal Diseases surgery, Aortic Aneurysm, Abdominal diagnosis, Aortic Aneurysm, Abdominal diagnostic imaging
- Abstract
Primary aortoduodenal fistula is a rare condition caused mainly by a bulging infra-renal aortic aneurysm with subsequent erosion of the duodenum and formation of a fistula. We present a patient who suffered from a herald upper gastrointestinal bleeding followed by circulo-respiratory collapse only hours after, due to bleeding from the fistula. The mortality is reported to be 100 %, requiring emergency EVAR or open aortic graft repair to control any further bleeding.
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- 2024
19. Utilization of point-of-care ultrasound to evaluate for enterovesical fistula.
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VanFleet AX, Kinkead Z, Daniel J, and Derr C
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- Female, Humans, Adult, Point-of-Care Systems, Ultrasonography, Crohn Disease complications, Crohn Disease diagnostic imaging, Urinary Bladder Fistula diagnostic imaging, Urinary Bladder Fistula complications, Intestinal Fistula diagnostic imaging, Intestinal Fistula complications
- Abstract
Enterovesical fistula formation is a relatively rare disease process although a common complication for patients with inflammatory bowel disease (IBD), notably Crohn's disease. Enterovesical fistulas most commonly arise from diverticulitis (65-80%), cancer (10-20%), or Crohn's disease (5-7%). An increasing amount of evidence supports the use of ultrasonography as the primary imaging method for the monitoring of complications in individuals with a documented history of IBD. Our case report presents a 30-year-old female with a history of Crohn's disease who presented to the Emergency Department with concern for possible enterovesical fistula formation. Using bedside gray-scale ultrasonography, a fistulous tract clearly visualizing air bubbles and fecal matter actively moving from bowel to the bladder through the fistula was visualized confirming the diagnosis of an enterovesical fistula. While CT imaging is instrumental in identifying mural and extramural complications of IBD, performing ultrasonography in patients with IBD serves as an efficient, inexpensive, and noninvasive diagnostic aid for the diagnosis of enterovesical fistula., (© 2023. The Author(s), under exclusive licence to American Society of Emergency Radiology (ASER).)
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- 2024
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20. A Modern Series of Secondary Aortoenteric Fistula - A 19-Year Experience.
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Sieber S, Busch A, Sargut M, Knappich C, Bohmann B, Karlas A, Friess H, Eckstein HH, and Novotny A
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- Humans, Male, Aged, Female, Treatment Outcome, Postoperative Complications, Aorta, Aortic Diseases diagnostic imaging, Aortic Diseases etiology, Aortic Diseases surgery, Intestinal Fistula diagnostic imaging, Intestinal Fistula etiology, Intestinal Fistula surgery, Vascular Fistula diagnostic imaging, Vascular Fistula etiology, Vascular Fistula surgery
- Abstract
Objectives: Secondary aortoenteric fistula is a rare and life-threatening condition. Clear evidence on the ideal therapeutic approach is largely missing. This study aims to analyze symptoms, etiology, risk factors, and outcomes based on procedural details., Patients and Methods: All patients with secondary aortoenteric fistula admitted between 2003 and 2021 were included. Patient characteristics, surgical procedure details, and postoperative outcomes were analyzed. Outcomes were stratified and compared according to the urgency of operation and the procedure performed. Descriptive statistics were used. The primary endpoint was in-hospital mortality., Results: A total of twentytwo patients (68% male, median age 70 years) were identified. Main symptoms were gastrointestinal bleeding, pain, and fever. From the twentytwo patients ten patients required emergency surgery and ten urgent surgery. Emergency patients were older on average (74 vs 63 years, P = .015) and had a higher risk of postoperative respiratory complications (80% vs 10%, P = .005). Primary open surgery with direct replacement of the aorta or an extra-anatomic bypass with an additional direct suture or resection of the involved bowel was performed in sixteen patients. In four patients underwent endovascular bridging treatment with the definitive approach as a second step. Other two patients died without operation (1x refusal; 1x palliative cancer history). In-hospital mortality was 27%, respectively. Compared to patients undergoing urgent surgery, those treated emergently showed significantly higher in-hospital (50% vs 0%, P = .0033) mortalities., Conclusion: Despite rapid diagnosis and treatment, secondary aortoenteric fistula remains a life-threatening condition with 27% in-hospital mortality, significantly increased upon emergency presentation., Competing Interests: Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
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- 2024
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21. Gastrointestinal: Lupus enteritis with duodenojejunal fistula causing intestinal obstruction and gastrointestinal perforation.
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Matsuyama S, Fukuda A, and Ohana M
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- Humans, Intestinal Obstruction diagnostic imaging, Intestinal Obstruction etiology, Intestinal Obstruction surgery, Enteritis complications, Fistula, Intestinal Perforation diagnostic imaging, Intestinal Perforation etiology, Intestinal Perforation surgery, Intestinal Fistula diagnostic imaging, Intestinal Fistula etiology, Intestinal Fistula surgery
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- 2024
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22. Ultrasonic Diagnosis of Congenital Enterocolitis Fistula: A Case Report.
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Yan Z, Ma B, Pang Y, Li T, Wang Y, and Nie F
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- Humans, Female, Child, Preschool, Ultrasonography methods, Intestinal Fistula diagnostic imaging, Enterocolitis diagnostic imaging
- Abstract
Background: Congenital enterocolic fistula, an abnormal connection between the small intestine and the colon, is a rare condition with the potential for significant complications affecting the patient’s quality of life., Case Report: A 2 year and 7 months old girl presented with abdominal pain and diarrhea lasting more than 10 days. The formation of the intestinal fistula was first detected by ultrasound, and the blood flow in the intestinal wall was preliminally analyzed. Surgical exploration revealed a colonic fistula formed by the attachment of the jejunum to the descending colon. Postoperatively, symptoms improved; no secondary infection occurred and the fistula healed well., Conclusion: Congenital colon fistula is rarely reported, and ultrasound is becoming more and more important in its diagnosis. Here, we report a case of congenital colonic fistula diagnosed by ultrasound. Ultrasound can dynamically and in real-time observe the intestinal condition, which is conducive to the early diagnosis and staging of congenital intestinal diseases and the determination of diagnosis and treatment schemes.
- Published
- 2024
- Full Text
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23. Enterovesical Fistula in a Lymphoma Patient Revealed by FDG PET/CT With an Oral Contrast Agents.
- Author
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Guo L and Shen G
- Subjects
- Male, Humans, Middle Aged, Positron Emission Tomography Computed Tomography, Fluorodeoxyglucose F18, Contrast Media, Intestinal Fistula complications, Intestinal Fistula diagnostic imaging, Lymphoma, Urinary Bladder Fistula
- Abstract
Abstract: A 60-year-old man with colonic diffuse large B-cell lymphoma was referred for FDG PET/CT for initial staging. He was suspected of enterovesical fistula. After oral administration, large amounts of contrast agents accumulated in the bowel lumen and leaked into the bladder through a well-marked fistulous tract. Corresponding to the fistula, a linear pattern of FDG uptake extended from the bladder into the colonic lumen, and the measured SUV max inside the lesion was as high as that of the urinary bladder. Cystography confirmed the presence of the enterovesical fistula., Competing Interests: Conflicts of interest and sources of funding: none declared., (Copyright © 2023 Wolters Kluwer Health, Inc. All rights reserved.)
- Published
- 2024
- Full Text
- View/download PDF
24. Ileal conduit to small intestine fistula following extensive abdominopelvic resection and radiation for metastatic colon cancer.
- Author
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Kwon AG, Brinzevich D, Borovik A, and Bhalla R
- Subjects
- Female, Humans, Cystectomy, Ileum surgery, Intestine, Small surgery, Aged, Colonic Neoplasms surgery, Intestinal Fistula diagnostic imaging, Intestinal Fistula etiology, Intestinal Fistula surgery, Urinary Bladder Neoplasms surgery, Urinary Diversion adverse effects
- Abstract
A woman in her mid-60s presented with decreased output from urostomy, which was an opening from the neobladder (ileal conduit). Presentation was preceded by a 6-month history of alternating faecaluria and increased colostomy output. Laboratory studies were notable for normal anion gap metabolic acidosis. Creatinine level of the colostomy output was 17.7 mg/dL, a finding indicative of the presence of urine in the sample. CT enterography and X-ray loopogram confirmed neobladder to small intestine fistula.Neobladder creation is commonly performed in patients with bladder cancer requiring resection. Fistulas between the neobladder and intestine are observed in fewer than 2.7% of cases. The patient's history of extensive abdominopelvic resection, colostomy creation and radiation likely contributed to fistula development. We highlight the need for a high index of suspicion for a fistula in a patient with a neobladder experiencing recurrent urinary tract infections or a high colostomy output concurrently with low neobladder output., Competing Interests: Competing interests: None declared., (© BMJ Publishing Group Limited 2023. No commercial re-use. See rights and permissions. Published by BMJ.)
- Published
- 2023
- Full Text
- View/download PDF
25. Iatrogenic enterovesical fistula secondary to a permanent urinary catheter.
- Author
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Dagnesses Fonseca JO, Teja García G, Luengo Batres P, and Calvo Espino P
- Subjects
- Humans, Urinary Catheters adverse effects, Catheters, Indwelling adverse effects, Iatrogenic Disease, Urinary Tract Infections complications, Intestinal Fistula diagnostic imaging, Intestinal Fistula etiology, Intestinal Fistula surgery, Urinary Bladder Fistula diagnostic imaging, Urinary Bladder Fistula etiology, Urinary Bladder Fistula surgery
- Abstract
An enterovesical fistula is a rare entity resulting from inflammatory, neoplastic and iatrogenic processes. It can manifest clinically as pneumaturia and recurrent urinary tract infections. Its diagnosis is supported by imaging examinations and its treatment is primarily surgical., Competing Interests: Competing interests: None declared., (© BMJ Publishing Group Limited 2023. No commercial re-use. See rights and permissions. Published by BMJ.)
- Published
- 2023
- Full Text
- View/download PDF
26. A case of cholecystoduodenal fistula complicating gallstone ileus was documented.
- Author
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Zhuang Y, Fu H, Yan B, and Shu Y
- Subjects
- Humans, Male, Middle Aged, Gallstones complications, Gallstones diagnostic imaging, Gallstones surgery, Ileus diagnostic imaging, Ileus etiology, Ileus surgery, Intestinal Fistula complications, Intestinal Fistula diagnostic imaging, Intestinal Obstruction complications
- Published
- 2023
- Full Text
- View/download PDF
27. Colo-rectal fistula: a rare complication of diverticular disease.
- Author
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Naseem Z, Kaneko Y, and Pham T
- Subjects
- Humans, Colon, Rectal Fistula complications, Diverticular Diseases complications, Diverticular Diseases diagnosis, Intestinal Fistula diagnostic imaging, Intestinal Fistula etiology
- Published
- 2023
- Full Text
- View/download PDF
28. Choledochocele with cholecystoduodenal fistula.
- Author
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Novis E, Bull N, Di Sano S, Arnold C, and Wong KS
- Subjects
- Humans, Choledochal Cyst, Intestinal Fistula diagnosis, Intestinal Fistula diagnostic imaging, Biliary Fistula diagnosis, Biliary Fistula diagnostic imaging, Gallbladder Diseases complications, Gallbladder Diseases diagnostic imaging, Gallbladder Diseases surgery
- Published
- 2023
- Full Text
- View/download PDF
29. An uncommon endoscopic finding in the setting of upper gastrointestinal bleeding: Secondary abdominal aortoduodenal fistula.
- Author
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Wang SB, Liu BY, Zhang QJ, and Guan F
- Subjects
- Humans, Gastrointestinal Hemorrhage surgery, Gastrointestinal Hemorrhage complications, Intestinal Fistula complications, Intestinal Fistula diagnostic imaging, Duodenal Diseases diagnosis, Duodenal Diseases diagnostic imaging, Aortic Diseases complications, Aortic Diseases diagnostic imaging, Aortic Aneurysm, Abdominal complications, Aortic Aneurysm, Abdominal diagnostic imaging, Aortic Aneurysm, Abdominal surgery
- Abstract
Competing Interests: Declaration of competing interest All authors declare that they have no conflict of interests.
- Published
- 2023
- Full Text
- View/download PDF
30. Emergent Endovascular Repair For Primary Aortoenteric Fistula.
- Author
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Marques I, Vieira M, Ferreira A, Abreu R, Rodrigues R, Vilaça L, and Oliveira J
- Subjects
- Male, Humans, Middle Aged, Tomography, X-Ray Computed, Vascular Fistula diagnostic imaging, Intestinal Fistula diagnostic imaging, Aortic Aneurysm, Abdominal complications, Endovascular Procedures
- Abstract
We report the case of a 64-year-old male with significant cardiac comorbidities who reported three episodes of gastrointestinal bleeding. In the third episode, he presented massive hematemesis, anaemia and hypotension. Despite a standard upper endoscopy, a computed tomography (CT) showed an infrarenal abdominal aortic aneurysm and densification of the aortic fat cover. A primary aortoenteric fistula, with acute bleeding and haemodynamic instability, was assumed, and an emergent endovascular repair was performed. Subsequent CT scans and endoscopies demonstrated control of the enteric lesion. After five months, there was no evidence of infection or rebleeding.
- Published
- 2023
- Full Text
- View/download PDF
31. A Woman With Chronic Anemia, Hypoalbuminemia, and Ileo-Ileal Fistula.
- Author
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Fukushima S, Katsurada T, and Sakamoto N
- Subjects
- Female, Humans, Ileum, Hypoalbuminemia diagnosis, Hypoalbuminemia etiology, Intestinal Fistula diagnosis, Intestinal Fistula diagnostic imaging, Anemia diagnosis, Anemia etiology, Ileal Diseases
- Published
- 2023
- Full Text
- View/download PDF
32. Enterocutaneous fistula due to a Richter's hernia after a Tenckhoff catheter removal.
- Author
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Blitzkow ACB
- Subjects
- Male, Humans, Aged, 80 and over, Hernia complications, Device Removal, Catheters adverse effects, Peritoneal Dialysis adverse effects, Intestinal Fistula diagnostic imaging, Intestinal Fistula etiology, Intestinal Fistula surgery
- Abstract
Richter's hernia is a rare type of hernia that occurs when the antimesenteric intestinal wall protrudes through a defect in the abdominal fascia leading to ischaemia, gangrene, bowel perforation and enterocutaneous fistulae. In this article, we describe a rare case of enterocutaneous fistula due to a Richter's hernia after a Tenckhoff catheter removal. This type of complication has not been previously reported in the literature. An 82-year-old man presented with a 1-day history of enteric content at the Tenckhoff catheter insertion site. Seven weeks earlier, the catheter was removed due to peritonitis. Removal was performed using open technique, and the fascia was not closed. Computed tomography revealed a small incarcerated hernia and subcutaneous fluid collection at the previous catheter insertion site. He underwent laparoscopy, which showed a Richter's hernia with perforation of the ileum causing an enterocutaneous fistula. A laparoscopic enterectomy was performed using a primary mechanical anastomosis. The hernia was repaired by primary suture without a mesh because of wound enteral contamination and the small size of the hernia. Richter's hernia has a misleading clinical presentation and contributes to high rates of morbidity and mortality. A secure myofascial closure during catheter removal may reduce the chances of this complication.
- Published
- 2023
- Full Text
- View/download PDF
33. Enteric fistulization of a common iliac vein aneurysm.
- Author
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Laamiri G, Beji H, and Touinsi H
- Subjects
- Humans, Iliac Vein diagnostic imaging, Iliac Artery surgery, Gastrointestinal Hemorrhage therapy, Intestinal Fistula diagnostic imaging, Intestinal Fistula etiology, Intestinal Fistula surgery, Aneurysm complications, Aneurysm diagnostic imaging, Aneurysm surgery
- Abstract
Iliac vein aneurysm is rare. Its complications include rupture, thromboembolism, and enteric fistulization. If a patient with surgical history presents with gastrointestinal bleeding, the veno-enteric fistula should be part of the differential diagnoses. In presence of a veno-enteric fistula, surgical treatment consists of aneurysmectomy, venorraphy, and intestinal resection., (Copyright © 2023 Elsevier Masson SAS. All rights reserved.)
- Published
- 2023
- Full Text
- View/download PDF
34. Entero-Urachal Fistula: An Unusual Initial Presentation of Penetrating and Stricturing Crohn's Disease.
- Author
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Herrick-Reynolds KM, Steinhauser CM, Singla M, Kucera WB, Wind GG, Gerald TS, Altamar HO, and O'Donnell MT
- Subjects
- Humans, Constriction, Pathologic complications, Abdominal Pain, Crohn Disease complications, Crohn Disease diagnosis, Crohn Disease surgery, Rectal Fistula complications, Urinary Bladder Diseases, Intestinal Fistula diagnostic imaging, Intestinal Fistula etiology
- Abstract
Crohn's disease (CD) has a wide variety of clinical presentations, ranging from abdominal pain to stricture and fistula. Fistulas involving the genitourinary tract can be severe and often require surgical intervention. Given the array of presenting symptoms, a delay in diagnosis can occur. We present the case of a healthy active duty soldier, with no previous medical history, found to have CD through an initial presentation of isolated umbilical drainage. Imaging workup identified an entero-uracho-cutaneous fistula with involvement of the transverse colon. Urachal anomalies are uncommon, and entero-urachal fistula as an initial presentation of CD is exceedingly rare. This case highlights the need to consider CD in the differential for patients with umbilical drainage despite a lack of concurrent more frequent presenting symptoms (abdominal pain, bloody diarrhea, and perianal fistula). Maintaining awareness of uncommon initial presentations of CD can minimize delay in diagnosis and thereby mitigate the risk of severe complications.
- Published
- 2023
- Full Text
- View/download PDF
35. Unique case of colovesical fistula in a renal allograft recipient.
- Author
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Narayanaswamy S, Goradia R, Bhujbal S, and Patwardhan S
- Subjects
- Humans, Kidney, Allografts, Kidney Transplantation adverse effects, Urinary Bladder Fistula diagnostic imaging, Urinary Bladder Fistula etiology, Urinary Bladder Fistula surgery, Intestinal Fistula diagnostic imaging, Intestinal Fistula etiology, Intestinal Fistula surgery, Diverticular Diseases complications
- Abstract
Colovesical fistula is commonly suspected in cases of diverticular disease, malignancy, trauma, iatrogenic injury or radiotherapy. In a case of allogenic live related transplant, this is rarely expected, especially after 20 years. The presence of gas in the bladder in the absence of history of instrumentation of urinary tract should prompt us to evaluate for colovesical fistula. Pneumaturia, faecaluria and recurrent urinary tract infection are tell-tale features of colovesical fistula, and when patients who are renal allograft recipient present with them, it should prompt a proper workup and swift surgical management, since the outcome is uniformly favourable. From our knowledge in this realm, we know that these are immunocompromised patients and have a high tendency to develop risk factors like malignancy and/or diverticular disease and eventually form colovesical fistula. An expected time period could be from 2 months to 6 years. But in our case, fistula formation occurred long after peak corticosteroid action, in the absence of conventional aetiologies., Competing Interests: Competing interests: None declared., (© BMJ Publishing Group Limited 2023. No commercial re-use. See rights and permissions. Published by BMJ.)
- Published
- 2023
- Full Text
- View/download PDF
36. A systematic review of the surgical management of secondary aortoduodenal fistula.
- Author
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Koliakos N, Papakonstantinou D, Tzortzis AS, Antonopoulos CN, Stavratis FC, Bakopoulos A, Schizas D, and Lazaris AM
- Subjects
- Humans, Retrospective Studies, Treatment Outcome, Postoperative Complications etiology, Postoperative Complications surgery, Risk Factors, Aortic Aneurysm, Abdominal diagnostic imaging, Aortic Aneurysm, Abdominal surgery, Aortic Aneurysm, Abdominal complications, Blood Vessel Prosthesis Implantation, Endovascular Procedures, Intestinal Fistula diagnostic imaging, Intestinal Fistula etiology, Intestinal Fistula surgery
- Abstract
Objective: Secondary aortoduodenal fistulae (SADF) are uncommon but life-threatening conditions that occur as complications of aortic reconstructive surgery. Data on the mortality and morbidity of procedures associated with SADF remain scarce., Methods: Comprehensive literature search was conducted on the MedLine, Scopus, Embase, and Web of Knowledge databases for cases of SADF. Data regarding patient demographics, fistula anatomy and treatment interventions performed were extracted for further analysis., Results: The study pool consisted of 127 case reports, 28 case series and 1 retrospective study published between 1973 and 2021. A total of 189 patients were operated for SADF. Among the 189 patients, 141 patients (74.6%) had aortic graft excision, 26 (13.8%) aortic primary repair, and 22 (11.6%) EVAR. Although patients undergoing EVAR were older with higher Charlson Comorbidity Index, compared with patients who had graft excision and primary aortic repair these differences were not statistically significant (P = .12 and P = .22, respectively). Primary bowel repair was performed in 145 patients (76.7%), duodenectomy in 25 (13.2%), and no bowel repair in 19 (10.1%). Additional omentoplasty was performed in 65 patients (34.6%). Mortality was comparable with respect to the type of aortic and bowel repair, with no statistically significant differences recorded (P = .54 and P = .77, respectively). Omentoplasty significantly decreased the risk of death (odds ratio, 0.4; 95% confidence interval, 0.2-0.8, P = .01)., Conclusions: Optimal operative management should address both the aortic and duodenal defects and be complemented with appropriate reconstructive procedures. Endovascular aortic approaches seem feasible in carefully select patients in whom duodenal repair may be omitted., (Copyright © 2022 Society for Vascular Surgery. Published by Elsevier Inc. All rights reserved.)
- Published
- 2023
- Full Text
- View/download PDF
37. Subacute Enteritis Two Months After COVID-19 Pneumonia With Mucosal Bleeding, Perforation, and Internal Fistulas.
- Author
-
Abbassi B, Deb A, Costilla V, and Bankhead-Kendall B
- Subjects
- Humans, Male, Adult, Pneumonia, Viral, Intestinal Obstruction etiology, Treatment Outcome, Endoscopy, Gastrointestinal, Enteritis complications, COVID-19 complications, Intestinal Fistula diagnostic imaging, Intestinal Fistula surgery, Peptic Ulcer diagnostic imaging, Gastrointestinal Hemorrhage
- Abstract
Chronic sequelae of COVID-19 remain undetermined. We report a case of postinfection sequelae in a patient presenting with subacute obstruction 2 months after COVID-19 infection. A 34-year-old man with a prior prolonged hospital stay due to COVID-19 complicated by upper gastrointestinal (GI) bleed presented with subacute obstruction and failure to thrive. Upper GI push enteroscopy revealed residual ulcers and multiple proximal jejuno-jejunal fistulae. Midline laparotomy revealed strictures with dense intra-abdominal adhesions, a large jejuno-jejunal fistula, and evidence of prior jejunal perforation following severe COVID-19 infection. The patient recovered after small bowel resection with anastomoses and was discharged home. Histopathological examination of resected specimen confirmed transmural infarction with evidence of prior hemorrhage, diffuse ulcers, and multifocal inflammation. This is the first report of a chronic GI sequelae resulting from COVID-19. As the pandemic evolves, medical professionals must be vigilant to consider alternative GI diagnoses in the COVID-19 survivors.
- Published
- 2023
- Full Text
- View/download PDF
38. Une Liaison Dangereuse: Spontaneous Pyeloduodenal Fistula.
- Author
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Gentile PA, Gualtieri L, Izzo S, Luka K, Lauro A, and Salvati B
- Subjects
- Female, Humans, Aged, Duodenum diagnostic imaging, Nephrectomy, Urinary Fistula diagnostic imaging, Urinary Fistula surgery, Urinary Fistula complications, Intestinal Fistula diagnostic imaging, Intestinal Fistula etiology, Intestinal Fistula surgery, Duodenal Diseases diagnostic imaging, Duodenal Diseases surgery, Duodenal Diseases complications
- Abstract
We describe the case of a 76-year-old woman with a spontaneous nephroduodenal fistula. The patient was initially evaluated for gastrointestinal and urinary symptoms associated with fever and anemia, after which she was admitted with the diagnosis of right chronic pyelonephritis, hydronephrosis, and renal lithiasis. The fistula was diagnosed incidentally by percutaneous pyelography during a right nephrostomy and was later confirmed with an abdominal CT scan. A multidisciplinary decision was made to surgically treat the fistula (right nephrectomy plus duodenal repair); the surgery had a short-term positive outcome. We report a systematic review of the literature related to spontaneous pyeloduodenal fistulæ and their treatments., (© 2023. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.)
- Published
- 2023
- Full Text
- View/download PDF
39. Delayed diagnosis of Crohn's disease-associated liver abscesses and enteric fistulas due to COVID-19.
- Author
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Farley N, Hindmarch J, Quah GS, Iannuzzi A, and Di Re A
- Subjects
- Humans, Delayed Diagnosis, COVID-19 Testing, Crohn Disease complications, Crohn Disease diagnosis, COVID-19, Liver Abscess, Intestinal Fistula diagnostic imaging, Intestinal Fistula etiology, Rectal Fistula
- Published
- 2023
- Full Text
- View/download PDF
40. Rare Cause of Dyschezia in a Man: Cholecystocolic Fistula With Huge Gallstone Migrated to the Rectum.
- Author
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Chen L, Ni X, Yin J, and Zhu Z
- Subjects
- Male, Humans, Rectum, Constipation complications, Gallstones complications, Gallstones diagnostic imaging, Gallstones surgery, Digestive System Fistula, Intestinal Fistula complications, Intestinal Fistula diagnostic imaging, Biliary Fistula complications, Biliary Fistula diagnostic imaging
- Published
- 2023
- Full Text
- View/download PDF
41. Entero-Gynecologic Fistula: A Rare Complication of Penetrating Crohn's Disease.
- Author
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Otero-Piñeiro AM, Falloon K, Philpott J, Lightner AL, Debernardo R, Steele SR, Hull T, and Holubar SD
- Subjects
- Humans, Female, Crohn Disease complications, Crohn Disease surgery, Intestinal Fistula diagnostic imaging, Intestinal Fistula etiology
- Published
- 2023
- Full Text
- View/download PDF
42. Gallstone ileus, a rare cause of intestinal occlusion. A case report.
- Author
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Valencia-Martínez JG, Reynoso-Saldaña D, Reynoso-González R, Estrada-Hernández D, Ángeles-Santillán M, and Aja-Sixto V
- Subjects
- Humans, Male, Tomography, X-Ray Computed adverse effects, Gallstones complications, Gallstones diagnostic imaging, Gallstones surgery, Intestinal Obstruction etiology, Ileus diagnostic imaging, Ileus etiology, Ileus surgery, Intestinal Fistula complications, Intestinal Fistula diagnostic imaging
- Abstract
Recurrent gallstone ileus has a recurrence of 2-8.2% with a mortality of 12-20%, secondary to an enteric or cholecystic gallstone. A male patient with a diagnosis of intestinal occlusion secondary to biliary ileus and cholecystoduodenal fistula, performing enterotomy and closure in two planes with drainage placement. Two months after presenting the clinical of intestinal occlusion, medical management began and an abdominal tomography was performed, finding an image suggestive of recurrent gallstone ileus, treated with laparotomy., (Copyright: © 2023 Permanyer.)
- Published
- 2023
- Full Text
- View/download PDF
43. Laparoscopic management of cholecysto-duodenal fistula after spontaneous resolution of intestinal obstruction component of gallstone Ileus case report and literature review.
- Author
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Alnagar A, Elkomy H, Foula M, Sakr M, and Nabil W
- Subjects
- Aged, Female, Humans, Gallstones complications, Gallstones diagnostic imaging, Gallstones surgery, Ileus diagnostic imaging, Ileus etiology, Ileus surgery, Intestinal Fistula complications, Intestinal Fistula diagnostic imaging, Intestinal Obstruction, Laparoscopy
- Abstract
Gallstone ileus is a rare complication of gallstones and is a comparatively unique cause of intestinal obstruction. It involves the development of a cholecysto-enteric fistula through which a gallstone can pass into the gastrointestinal tract. Spontaneous resolution of intestinal obstruction in gallstone ileus is extremely rare. We report a 71-year-old patient who presented with right hypochondrial pain for four months. She had a three-day history of absolute constipation and abdominal distention two months before presentation that resolved spontaneously. Computed tomography revealed pneumobilia. Laparoscopic exploration showed a cholecysto-duodenal fistula that was divided, the opening in the first part duodenum was closed and cholecystectomy was completed successfully. The presence of pneumobilia in a patient with gallstones should raise the suspicion of bilio-enteric fistula. The obstruction component of gallstone ileus can resolve spontaneously in rare occasions. Single stage laparoscopic management of cholecysto-duodenal fistula is safe and feasible in the presence of an experienced laparoscopic surgeon.
- Published
- 2022
- Full Text
- View/download PDF
44. Modified Percutaneous Endoscopic Gastrojejunostomy for Duodenal Fistula.
- Author
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Zhang J, Qian X, Duan M, Li Y, and Wang Z
- Subjects
- Humans, Gastroenterostomy, Stomach, Gastric Bypass adverse effects, Duodenal Diseases diagnostic imaging, Duodenal Diseases surgery, Intestinal Fistula diagnostic imaging, Intestinal Fistula etiology, Intestinal Fistula surgery
- Published
- 2022
- Full Text
- View/download PDF
45. A Case of Successful Endovascular Aortic Repair of Primary Aortoenteric Fistula Without Aortic Explantation.
- Author
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Winston J, Lovelock T, Kelly T, and Vasudevan T
- Subjects
- Male, Humans, Middle Aged, Treatment Outcome, Device Removal, Aortic Aneurysm, Abdominal surgery, Blood Vessel Prosthesis Implantation, Intestinal Fistula diagnostic imaging, Intestinal Fistula etiology, Intestinal Fistula surgery, Vascular Fistula diagnostic imaging, Vascular Fistula surgery, Endovascular Procedures
- Abstract
Purpose: The objective of this study is to report a case of a primary aortoenteric fistula successfully treated with endovascular repair without aortic explant., Case Report: A 48-year-old man presented with a 24-hour history of hematemesis and malena. A computed tomography (CT) abdomen and pelvis demonstrated a 6 cm infrarenal aortic aneurysm with periaortic stranding and contrast enhancement within the lumen of the third part of the duodenum. The patient underwent emergency Endovascular Aortic Repair (EVAR). The patient was discharged on day 8 of his admission on oral antibiotics. He returned 7 weeks postindex procedure and underwent a laparotomy with omental patch repair of the aortic defect. Intraoperative cultures grew candida albicans, and the patient was discharged on lifelong oral Fluconazole and Amoxycillin-Clavulanic Acid. At 18 months postoperatively, the patient was clinically stable with improved appearances on CT aortogram., Conclusion: We discuss the use of EVAR without aortic explant as a possible treatment option in the management of patient with primary aortoenteric fistulae. This may potentially avoid the significant morbidity and mortality associated with aortic explant in suitable candidates without perioperative signs of sepsis.
- Published
- 2022
- Full Text
- View/download PDF
46. Novel Use of a Vascular Closure Device for Treatment of an Enterocutaneous Fistula.
- Author
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Biscopink A, Schammel CMG, and Devane AM
- Subjects
- Humans, Vascular Closure Devices, Intestinal Fistula diagnostic imaging, Intestinal Fistula surgery
- Published
- 2022
- Full Text
- View/download PDF
47. Fatal Aortoduodenal Fistula after FEVAR.
- Author
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Tenezaca-Sari X and Ruiz-Carmona C
- Subjects
- Humans, Endovascular Aneurysm Repair, Gastrointestinal Hemorrhage surgery, Intestinal Fistula diagnostic imaging, Intestinal Fistula etiology, Intestinal Fistula surgery, Duodenal Diseases diagnostic imaging, Duodenal Diseases etiology, Duodenal Diseases surgery, Aortic Diseases diagnostic imaging, Aortic Diseases etiology, Aortic Diseases surgery
- Published
- 2022
- Full Text
- View/download PDF
48. Re. "Fungal Vascular Graft and Endograft Infections are Frequently Associated with Aorto-Enteric Fistulas".
- Author
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Zaghdoudi A, Piroth L, and Sixt T
- Subjects
- Humans, Stents adverse effects, Blood Vessel Prosthesis adverse effects, Treatment Outcome, Vascular Fistula diagnostic imaging, Vascular Fistula etiology, Vascular Fistula surgery, Intestinal Fistula diagnostic imaging, Intestinal Fistula etiology, Intestinal Fistula surgery, Blood Vessel Prosthesis Implantation adverse effects
- Published
- 2022
- Full Text
- View/download PDF
49. [Cholecystocolonic fistula as a complication of advanced gallbladder cancer]
- Author
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Gasque RA, Mollard L, Cervantes JG, Lenz Virreira ME, Quiñonez EG, and Mattera FJ
- Subjects
- Humans, Colonic Diseases complications, Colonic Diseases diagnosis, Colonic Diseases surgery, Gallbladder Diseases complications, Gallbladder Diseases surgery, Gallbladder Neoplasms complications, Gallbladder Neoplasms surgery, Intestinal Fistula diagnostic imaging, Intestinal Fistula etiology
- Abstract
Cholecystocolonic fistula (CCF) is the second most common cholecystoenteric fistula, associated in most cases with stone disease. Symptoms are usually minimal or nonspecific, and preoperative diagnosis is uncommon. Although the incidence of FCC caused by gallbladder cancer comprises 1.7% of cases, it is necessary to suspect it in order to adopt the best therapeutic strategy., (Universidad Nacional de Córdoba.)
- Published
- 2022
- Full Text
- View/download PDF
50. Spontaneous Resolution of Cholecystoduodenal Fistula Secondary to Duodenal Ulcer.
- Author
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Dias E, Marques M, Azevedo F, and Macedo G
- Subjects
- Humans, Duodenal Diseases diagnostic imaging, Duodenal Diseases etiology, Duodenal Diseases surgery, Duodenal Ulcer complications, Duodenal Ulcer diagnosis, Duodenal Ulcer surgery, Intestinal Fistula diagnostic imaging, Intestinal Fistula etiology, Intestinal Fistula surgery
- Published
- 2022
- Full Text
- View/download PDF
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