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Colocutaneous fistulae

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https://www.readbyqxmd.com/read/27745889/operative-management-of-diverticulitis-in-a-tertiary-care-center
#1
David R Rosen, Grace S Hwang, Glenn T Ault, Adrian E Ortega, Kyle G Cologne
BACKGROUND: Diverticulitis has become a medically managed disease process; the indications and timing of surgical intervention have evolved. METHODS: We retrospectively reviewed all patients who underwent surgical intervention due to diverticular disease by the Division of Colon and Rectal Surgery from 2012 to 2014. RESULTS: Ninety-eight surgeries were performed. Indications included colovesicular fistula, multiple recurrences of diverticulitis, medically refractory diverticulitis, stricture, abscess, colocutaneous fistula, and colovaginal fistula...
August 3, 2016: American Journal of Surgery
https://www.readbyqxmd.com/read/27738544/colocutaneous-fistula-after-open-inguinal-hernia-repair
#2
Maria Isaia, Demetris Christou, Panayiotis Kallis, Nikolaos Koronakis, Panayiotis Hadjicostas
The plug-and-patch technique is frequently used for the open repair of inguinal hernias; however, serious complications may arise on rare occasions. We present the case of a 69-year-old patient who presented with a colocutaneous fistula with the sigmoid colon 9 years after the repair of a left sliding inguinal hernia with the plug-and-patch technique. The patient underwent sigmoidectomy and excision of the fistulous track. He was discharged on postoperative day 5 and had an uneventful recovery. Although such complications are reported rarely, the surgeon must be aware of them when deciding upon the method of hernia repair...
2016: Case Reports in Surgery
https://www.readbyqxmd.com/read/27344156/percutaneous-radiologic-gastrostomy-catheter-placement-without-gastropexy-a-co-axial-balloon-technique-and-evaluation-of-safety-and-efficacy
#3
Emily C Bendel, Michael A McKusick, Chad J Fleming, Jeremy L Friese, David A Woodrum, Andrew H Stockland, Sanjay Misra
PURPOSE: The purpose of this study is to evaluate the short-term safety and efficacy of a co-axial angioplasty balloon technique for percutaneous radiologic gastrostomy catheter placement (PRG). METHODS: A total of 65 percutaneous radiologic gastrostomy tube placements were performed with the co-axial angioplasty balloon technique from 10/1999 to 1/2014. This included 19 females and 46 males between the ages of 20-83. Without the use of T-fasteners for gastropexy, the gastrostomy tube was placed over a catheter-shaft angioplasty balloon as a co-axial system...
June 25, 2016: Abdominal Radiology
https://www.readbyqxmd.com/read/27320590/successful-re-resection-for-locally-recurrent-retroperitoneal-liposarcoma-at-four-years-after-ex%C3%A2-vivo-tumor-resection-and-autotransplantation-of-the-liver-a-case-report
#4
T Kobayashi, K Miura, H Ishikawa, D Soma, Z Zhang, K Yuza, Y Hirose, K Takizawa, M Nagahashi, J Sakata, H Kameyama, S Kosugi, T Wakai
Surgical resection should be considered for isolated locally recurrent retroperitoneal liposarcomas. We experienced a case of successful re-resection for locally recurrent retroperitoneal liposarcomas 4 years after ex vivo tumor resection and autotransplantation of the liver. A 75-year-old man was admitted to our hospital. His diagnosis was local recurrence of liposarcomas. He had previously undergone ex vivo tumor resection and autologous orthotopic liver transplantation for a retroperitoneal tumor 4 years earlier...
May 2016: Transplantation Proceedings
https://www.readbyqxmd.com/read/27241606/necrotising-fasciitis-secondary-to-a-colocutaneous-fistula
#5
N Husnoo, S Patil, A Jackson, M Khan
Colocutaneous fistulae secondary to diverticular disease are rare, especially spontaneous fistulae. We report a case of a 74-year-old lady, with no previous history of diverticular disease, presenting with necrotising fasciitis of the anterior abdominal wall in the left iliac fossa, without any other symptoms. Urgent surgery was performed. An initial diagnostic laparoscopy demonstrated a perforated sigmoid diverticulum forming a fistula to the anterior abdominal wall. Following soft tissue debridement, a sigmoid colectomy was performed through a midline laparotomy...
September 2016: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/26902104/colocutaneous-fistula-a-rare-postoperative-complication-after-surgical-treatment-of-an-irreducible-left-inguinal-hernia-case-report
#6
Florentina Cadariu, Alexandra Enache, Mihaela Avram, Sorin Olariu
AIM: The colo-cutaneous fistula is an extremely rare post-operative complication of hernias. This type of complication, besides the surgical aspects, raises also a medical-legal problem regarding the production of the fistula and its consequences. CASE REPORT: The authors present the clinical case of a 65 years old man, J.N., from a rural background, who presented himself in the ambulatory with a colo-cutaneous fistula as a complication which debuted a few weeks after a surgical intervention for an irreducible left inguinal hernia...
2016: Annali Italiani di Chirurgia
https://www.readbyqxmd.com/read/26875638/stable-gastric-pentadecapeptide-bpc-157-heals-rat-colovesical-fistula
#7
Tihomir Grgic, Dora Grgic, Domagoj Drmic, Anita Zenko Sever, Igor Petrovic, Mario Sucic, Antonio Kokot, Robert Klicek, Marko Sever, Sven Seiwerth, Predrag Sikiric
To establish the effects of BPC 157 on the healing of rat colovesical fistulas, Wistar Albino male rats were randomly assigned to different groups. BPC 157, a stable gastric pentadecapeptide, has been used in clinical applications-specifically, in ulcerative colitis-and was successful in treating both external and internal fistulas. BPC 157 was provided daily, perorally, in drinking water (10µg/kg, 12ml/rat/day) until sacrifice or, alternatively, 10µg/kg or 10ng/kg intraperitoneally, with the first application at 30min after surgery and the last at 24h before sacrifice...
June 5, 2016: European Journal of Pharmacology
https://www.readbyqxmd.com/read/26855395/medically-treated-diverticular-abscess-associated-with-high-risk-of-recurrence-and-disease-complications
#8
Bikash Devaraj, Wendy Liu, James Tatum, Kyle Cologne, Andreas M Kaiser
BACKGROUND: The best management for diverticulitis with abscess formation remains unknown. OBJECTIVE: The purpose of this study was to determine the natural course and outcomes of patients with medically treated diverticular abscess. DESIGN: We conducted a retrospective review of all patients at our institution with diverticular abscess confirmed by CT from 2004 to 2014. SETTINGS: This study was conducted in a tertiary referral hospital...
March 2016: Diseases of the Colon and Rectum
https://www.readbyqxmd.com/read/26805472/a-systematic-review-of-the-role-of-re-laparoscopy-in-the-management-of-complications-following-laparoscopic-colorectal-surgery
#9
K H Chang, M G Bourke, D O Kavanagh, P C Neary, J M O'Riordan
The benefits of laparoscopic versus open surgery for patients with both benign and malignant colorectal disease have been well established. Re-laparoscopy in patients who develop complications following laparoscopic colorectal surgery has recently been reported by some groups and the aim of this systematic review was to summarise this literature. A literature search of PubMed, Medline and EMBASE identified a total of 11 studies that reported laparoscopic re-intervention for complications in 187 patients following laparoscopic colorectal surgery...
October 2016: Surgeon: Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
https://www.readbyqxmd.com/read/26568391/intraperitoneal-migration-of-a-mesh-plug-from-a-hernioplasty-forming-a-colocutaneous-fistula-with-the-cecum-report-of-a-case
#10
Kumiko Sekiguchi, Yoshiaki Mizuguchi, Yasuhiro Mamada, Michihiro Koizumi, Eiji Uchida
Tension-free hernia repair with a mesh plug causes relatively low postoperative pain and allows an earlier return to work, as well as a low recurrence rate. Occasionally, however, hernioplasty can result in complications including mesh migration and invasion of intra-abdominal organs. This report describes the case of a 57-year-old man who had undergone a right inguinal hernioplasty 13 years previously. Recovery was uneventful until he experienced inflammation of the groin, and required open drainage three times for a refractory abscess in his right groin...
2015: Journal of Nippon Medical School, Nippon Ika Daigaku Zasshi
https://www.readbyqxmd.com/read/26354840/cervical-diverticulitis-a-novel-complication-of-a-neonatal-colonic-interposition-graft-following-oesophagectomy
#11
Vishal V Punwani, Eugene Ong, Michael W Hii
A 47-year-old woman presented to a tertiary emergency department with an 8-day history of odynophagia, a 4 cm swelling on her left neck and intermittent fevers. Shortly following her birth, a congenital oesophageal atresia had been managed surgically with colonic interposition graft. Contrast CT of the neck demonstrated several large diverticula within her interposition graft at the level of the cervical vertebrae. A colocutaneous fistula was identified between the colon and left neck, with an associated abscess...
2015: BMJ Case Reports
https://www.readbyqxmd.com/read/26209758/a-case-of-a-colocutaneous-fistula-a-rare-complication-of-mesh-migration-into-the-sigmoid-colon-after-open-tension-free-hernia-repair
#12
Saud Al-Subaie, Mohanned Al-Haddad, Wadha Al-Yaqout, Mufarrej Al-Hajeri, Christiano Claus
INTRODUCTION: The Lichtenstein technique is commonly used in inguinal hernia repair and a polypropylene mesh is the most frequently used mesh. Mesh migration into the colon has been rarely reported in the literature. Here we report a case of a colocutaneous fistula that developed following delayed mesh migration into the sigmoid colon. PRESENTATION OF CASE: A 52-year-old man undergone Lichtenstein repair for left direct inguinal herniain 2008. Three years later, he presented complaining of rectal bleeding and concurrent bloody discharge from the hernia repair scar...
2015: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/25377864/management-of-pneumatosis-intestinalis-in-a-pediatric-burn-patient
#13
Kyle J Kalkwarf, Richard D Betzold, Stephanie Y Hung, Anne N Rinewalt, Ronald D Robertson
Pneumatosis intestinalis is gas in the wall of the gastrointestinal tract. It is not well described in pediatric burn patients. The authors present the case of a 23-month-old girl who sustained 40% total body surface area deep-partial and full-thickness burns as well as a grade two inhalational injury. On postburn day two, radiographic imaging showed extensive pneumatosis of the colon. She was managed with bowel rest, broad-spectrum antibiotics, and parenteral nutrition. Radiographic resolution of pneumatosis intestinalis occurred several days later and was followed by reinitiation of enteral feeds and bowel function...
March 2016: Journal of Burn Care & Research: Official Publication of the American Burn Association
https://www.readbyqxmd.com/read/24960819/colonic-stent-and-percutaneous-ethanol-injection-as-a-treatment-for-colocutaneous-fistula-secondary-to-benign-stricture
#14
H Qandeel, H Abudeeb, A Hammad, C Murch, A Mukherjee
We report successful treatment of colocutanteous stulae at the site of a benign colonic anastomotic stricture using Self-Expandable Metal Stents (SEMS) and Percutaneous Ethanol Injection (PEI). The stricture and the secondary stulae developed after Hartmann's procedure for sigmoid diverticular abscess followed by reversal of the Hartmann's procedure with a de-functioning loop ileostomy. Although there have been previously reported cases of SEMS for closure of malignant colonic stula, there are limited reports of SEMS for closure of benign colonic stulae and none of SEMS combined with PEI for benign colonic fistula...
2012: Journal of Surgical Case Reports
https://www.readbyqxmd.com/read/24398208/laparoscopic-resection-of-chronic-sigmoid-diverticulitis-with-fistula
#15
Mohammad A Abbass, Anna T Tsay, Maher A Abbas
BACKGROUND AND OBJECTIVES: A growing number of operations for sigmoid diverticulitis are being done laparoscopically. There is a paucity of data on the outcome of laparoscopy for sigmoid diverticulitis complicated by colonic fistula. The aim of this study was to compare the results of laparoscopic resection of sigmoid diverticulitis with and without colonic fistula. METHODS: A retrospective review was conducted of all patients who underwent laparoscopic resection of sigmoid diverticulitis complicated by fistula at a single tertiary care institution over a 7-year period...
October 2013: JSLS: Journal of the Society of Laparoendoscopic Surgeons
https://www.readbyqxmd.com/read/24197901/outcome-of-colonic-fistula-surgery-in-the-modern-surgical-era
#16
M S Tam, M Abbass, A T Tsay, M A Abbas
BACKGROUND: Various conditions lead to the development of colonic fistulas. Contemporary surgical data is scarce and it is unclear whether advances in surgical care have impacted outcome. The aim of the present study was to review the short- and long-term outcome of patients treated surgically for colonic fistula over an 8-year period at a tertiary institution. METHODS: A retrospective review was performed, focusing on the type of operative interventions, short- and long-term complications, length of hospital stay, readmission rate, mortality rate, and fistula recurrence...
May 2014: Techniques in Coloproctology
https://www.readbyqxmd.com/read/23841011/spontaneous-colo-umbilical-fistula-complicating-diverticulitis-of-the-sigmoid-colon
#17
Helen Bolanaki, Georgios Kouklakis, Nikos Courcoutsakis, Panagoula Oikonomou, Anastasios J Karayiannakis
Colocutaneous fistula caused by diverticulitis is relatively uncommon with colo-umbilical fistulas being even rarer. We herein report a rare case of a spontaneous colo-umbilical fistula due to diverticulitis of the sigmoid colon. The fistula developed from a diverticulum of the sigmoid colon that discharged through the umbilicus after two episodes of acute diverticulitis. The condition was successfully treated by resectional surgery.
2013: Case Reports in Surgery
https://www.readbyqxmd.com/read/23755725/stable-gastric-pentadecapeptide-bpc-157-no-system-relation
#18
REVIEW
Predrag Sikiric, Sven Seiwerth, Rudolf Rucman, Branko Turkovic, Dinko Stancic Rokotov, Luka Brcic, Marko Sever, Robert Klicek, Bozo Radic, Domagoj Drmic, Spomenko Ilic, Danijela Kolenc, Gorana Aralica, Mirjana Stupnisek, Jelena Suran, Ivan Barisic, Senka Dzidic, Hrvoje Vrcic, Bozidar Sebecic
We reviewed stable gastric pentadecapeptide BPC 157-NO-system-relation, its close participation in Moncada's (maintained vascular integrity, platelets control) homeostatic healing response of NO-system to injury. Namely, BPC 157's particular healing effect also affects all events after vascular integrity loss (dependent on circumstances, it reduces either thrombosis (abdominal aorta anastomosis) or bleeding/thrombocytopenia (amputation, heparin, warfarin, aspirin)) and in a series of different injurious models, acute and chronic, BPC 157 consistently advances healing after severe injuries in various tissues spontaneously unable to heal; stimulates egr-1 and naB2 genes; exhibits high safety (LD1 not achieved))...
2014: Current Pharmaceutical Design
https://www.readbyqxmd.com/read/23730319/enterocolic-fistula-a-rare-presentation-of-cytomegalovirus-infection
#19
Richdeep S Gill, Geoffrey Taylor, Robert M Penner, Sarvesh Logsetty
In the present report, the first reported case of cytomegalovirus (CMV)-associated enterocolic fistula in an HIV/AIDS patient is described. CMV colitis is the second most common presentation of CMV infection in immunocompromised patients. CMV-associated enteric fistulae are an exceedingly rare complication, with only four previous cases described: a gastrocolic, an enterocutaneous, a rectovaginal and a colocutaneous fistula. Management of these patient demonstrates the importance of treating the precipitating viral infection before considering surgical intervention of the enterocolic fistula...
2012: Canadian Journal of Infectious Diseases & Medical Microbiology
https://www.readbyqxmd.com/read/23294065/left-sided-sigmoid-diverticulitis-presenting-as-right-sided-thigh-abscess
#20
Patrick Bates Murphy, Paul Belliveau
Acquired diverticular disease of the colon is very common in the North American population. Atypical presentations are usually due to complications and rarely the predominant complaint may be related to an associated fistula. Thigh abscesses due to colocutaneous fistula represent an uncommon complication of sigmoid diverticulitis. In rare cases, a thigh abscess may be the only symptom, but gas in the thigh should raise the index of suspicion for bowel pathology. We report the second known case of a left-sided sigmoid diverticulitis leading to an isolated right thigh abscess with no gastrointestinal symptoms...
October 2012: International Surgery
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