1/3. Preoperative diagnosis of colouterine fistula secondary to diverticulitis by sonohysterography with contrast medium.Colouterine fistulae secondary to sigmoid diverticulitis are unusual. methods for diagnosis remain to be established. We report a case with a colouterine fistula in which sonohysterography detected the flow of ultrasound contrast medium between the uterine cavity and the sigmoid colon through the posterior uterine wall, thus confirming the diagnosis. The diagnosis was further substantiated by a charcoal challenge test. The patient underwent en bloc resection of the uterus, fallopian tubes, ovaries and sigmoid colon, the organs involved with diverticulitis. This is the first report to describe a colouterine fistula successfully diagnosed by sonohysterography using ultrasound contrast medium.- - - - - - - - - - ranking = 1keywords = fistula (Clic here for more details about this article) |
2/3. Chronic abdominal wall sinus and recurrent abscesses caused by a foreign body after laparotomy.The prolonged failure of a wound to heal due to the existence of a foreign body can result in chronic sinuses and fistulae and is a situation that should be avoided through thorough assessment of the wound in the first instance.- - - - - - - - - - ranking = 0.14285714285714keywords = fistula (Clic here for more details about this article) |
3/3. 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.- - - - - - - - - - ranking = 1.1428571428571keywords = fistula (Clic here for more details about this article) |