Multiple vascular and enteric fistulas into an anal pouch
نویسندگان
چکیده
We present a case of an 87-year-old female who presented 3 months following an emergency Hartmann's procedure for perforated diverticulum with per rectum bleed. She was found to have a false aneurysm in the iliac artery communicating with her rectal stump. This was treated successfully with intravascular coiling; however, she re-presented 2 years later complaining of passing stool per rectum and decreased colostomy output. She was found to have communication between two enterorectal fistulae with the distal segment of the remaining bowel.
منابع مشابه
Endoscopic closure instead of surgery to close an ileal pouch fistula with the over-the-scope clip system
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Patients may develop fistulas due to Crohn's disease or as a postoperative complication after restorative proctocolectomy with ileal pouch anal anastomosis. Unfortunately, the treatment of fistulas can be challenging. The current standard of care may include medical therapy and/or surgical intervention. However, endoscopic treatment for postoperative pouch complications has emerged as a valid a...
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عنوان ژورنال:
دوره 2015 شماره
صفحات -
تاریخ انتشار 2015