Cases reported "Diverticulitis, Colonic"

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11/44. Colovesical fistula complicating diverticular disease: one-stage resection.

    Colonic diverticular disease is common in developed countries, and its prevalence increases with age. Most affected individuals remain asymptomatic throughout their lives, and relatively few patients require surgical intervention for obstructive or inflammatory complications. Colovesical fistula is the most common type (65%) of fistula associated with colonic diverticular disease. Primary resection of sigmoid colon with colorectal anastomosis performed as a one-stage procedure is its definitive treatment and can be performed safely--as simple closure, using an omental flap, or through resection and closure of bladder defect--in 90% of the patients. We report our experience with four patients suffering from colovesical fistula who were treated with primary resection of sigmoid colon and colorectal anastomosis performed as a one-step procedure. In our experience, diverting colostomy or Hartmann intervention is not recommended because of the lack of fistula definitive resolution and the possibility of additional complications.
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ranking = 1
keywords = fistula
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12/44. No-trocar laparoscopic stoma creation.

    Creation of an intestinal stoma may be necessary in a wide variety of colorectal diseases of both benign and malignant character. Open and laparoscopic techniques can be used for the fecal diversion. We report a case of a patient with a diverticulitis of the sigmoid colon with abscess formation and fistulation to the abdominal wall and vagina. Owing to severe comorbidity, a permanent fecal diversion was prepared. We performed a laparoscopic no-trocar technique. Only 1 incision, at the planned stoma site, was used. The abdominal wall was elevated with gaspers, no pneumoperitoneum or trocars were used. The laparoscope and reuseable laparoscopic graspers were introduced through the stoma site to correctly identify and grasp a loop of the terminal ileum. Finally, the loop ileostomy was placed on a bar. This laparoscopic technique is a valid alternative to standard laparoscopic stoma creation. Different techniques for stoma creation are discussed.
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ranking = 0.125
keywords = fistula
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13/44. Coloseminal vesicle fistula: report of a case and review of the literature.

    Despite their anatomic proximity, communication between the colorectum and seminal vesicle is an uncommon event. We describe the first reported case of a fistula between the colon and seminal vesicle as a complication of diverticulitis. This case report is followed by a literature review of other reported cases of fistula formation between the seminal vesicle and the colon.
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ranking = 0.75
keywords = fistula
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14/44. diverticulitis in the multiple endocrine neoplasia type II B syndrome.

    Diffuse ganglioneuromatosis of the entire alimentary tract is a characteristic finding in the multiple endocrine neoplasia type II B syndrome. Symptoms and complications of colonic involvement are common. We report a 37-yr-old woman with multiple endocrine neoplasia type II B syndrome and a colovesical fistula complicating sigmoid diverticulitis.
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ranking = 0.125
keywords = fistula
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15/44. Colouterine fistula and pyometrium treated with percutaneous drainage: a case report.

    Percutaneous drainage of intraabdominal abscesses has become a routine procedure for preoperative confirmation of diagnosis and patient stabilization, and often provides definitive therapy. diverticulitis is a frequent cause of pericolonic abscess but rarely results in colouterine fistula and pyometrium. We describe the first reported percutaneous drainage of such a case of pyometrium.
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ranking = 0.625
keywords = fistula
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16/44. early diagnosis of a diverticular colovaginal fistula with colposcopy. A case report.

    Seventy cases of colovaginal fistula complicating diverticular disease are documented in the literature. Predisposing factors are advanced age and previous hysterectomy. We diagnosed a case early on with careful colposcopic observation of the volcanic ejection of pus from multiple sites in the vaginal apex; we propose naming that phenomenon the "Io" sign after the most eruptive celestial body known. We also documented the association of a coloovarian fistula, ureteral obstruction and endometriosis with this disease process. Considering the expected growth in the geriatric population and the frequency of hysterectomy, clinicians should familiarize themselves with this life-threatening illness.
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ranking = 0.75
keywords = fistula
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17/44. CT findings in venous intravasation complicating diverticulitis.

    A case of venous intravasation mimicking coloureteral fistula in a patient with sigmoid diverticulitis is reported. Venous intravasation is a rare but serious complication of barium examination of the colon.
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ranking = 0.125
keywords = fistula
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18/44. Sigmoidovaginal fistula secondary to diverticular disease. A report of three cases.

    Colovaginal fistula from any cause is rare. Diverticular disease is the most common cause. We treated three women for sigmoidovaginal fistulae secondary to diverticular disease. These 3 cases bring the total number reported to 49. Diagnosis of these fistulae may be difficult, and controversy exists over which form of surgical management should be employed. Since more women are living to an age at which diverticular disease is common, colovaginal fistulae probably will be encountered by the gynecologist with increasing frequency. Colovaginal fistula secondary to diverticular disease should be considered in the differential diagnosis when an elderly women complains of flatus vaginalis.
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ranking = 1.125
keywords = fistula
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19/44. epididymitis--an unusual presentation of colovesical fistula secondary to diverticulitis. Report of a case.

    A case of colovesical fistula secondary to diverticulitis that had the unusual presentation of epididymitis is presented. The current literature on diverticulitis involving the urinary tract is reviewed.
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ranking = 0.625
keywords = fistula
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20/44. Group G streptococcal arthritis and bowel disease: a rare enteropathic arthropathy.

    Group G streptococci may be seen as normal flora in many parts of the body, including the gastrointestinal tract. They are rarely pathogens in humans, but they have been isolated from septic joints in debilitated patients. Three patients with group G streptococcal arthritis were further evaluated using contrast studies of the colon. Abnormalities, including an occult carcinoma and a colocutaneous fistula, were found. We conclude that group G streptococcal arthritis may be associated with gastrointestinal abnormalities that allow a portal of entry for an otherwise innocuous organism, and that this represents a rare enteropathic arthropathy.
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ranking = 0.125
keywords = fistula
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