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 an...

CORONARY ARTERY FISTULAS, precapillary communications between a coronary artery and a cardiac chamber or vessel, have been described as the most common hemodynamically significant congenital coronary anomaly.' In a review of 21 original cases and 342 previous cases, Levin et al.' reported that coronary fistulas originated slightly more often from the right than from the left coronary artery, bu...

traumatic coronary artery-cameral fistulas (tcaf) are rare and may present secondary to penetrating injuries (80%) or iatrogenic traumas. early operative intervention remains the recommended treatment modality for accidental traumatic coronary artery fistulas. we report the case of a 17-year-old man who presented with left anterior descending coronary artery-right ventricle fistula following pe...

We present a 66-year-old female patient who developed right cervical and submandibular swelling. She had visited an Ear-Nose-Throat surgeon who performed a right cervical lymph node excision. The patient had multiple enlarged lymph nodes in the right cervical and submandibular areas. There were also 3 discharging fistulas: the first was high in the right posterior cervical area; the second, low...

CASE REPORT A 24-year-old man referring from a remote village presented with the history of passing urine through multiple openings in the anterior abdominal wall. At presentation, his kidney function and the urinary tract were normal. He had a history of urethral injury due to pelvic trauma following accidental fall of heavy metal object while playing at the age of 4 years. As initial manageme...

OBJECTIVE To assess the sensitivity of the routine computed tomographic (CT) scan of the temporal bone coupled to a virtual endoscopy, with density threshold variation, in detecting small fistulas in human temporal bone specimens. DESIGN Single-blind, before-after trial. SETTING This study was carried out in a research laboratory in collaboration with a radiology department. PATIENTS Five...

A 66-year-old man was referred to our hospital due to a heart murmur. A continuous grade II/VI murmur, louder in diastole, was audible at the Erb and the apex area. Color Doppler imaging of echocardiography revealed multiple abnormal flow patterns during the diastolic phase at the midleft ventricle and apex (Picture 1, arrows). Coronary computed tomography detected multiple left coronary artery...

INTRODUCTION Dural arteriovenous fistulas (DAVFs) are important causes of neurological dysfunction and are many times misdiagnosed. Particularly in older populations, DAVFs may present with a selective cognitive dysfunction. CASE REPORT The authors describe a 70-year-old woman presenting with a rapidly progressive dementia, very similar in presentation to prion disease. Neuroimaging showed mu...

Aim. This study aspires to assess the role of 3D-Endoanal Ultrasound (3D-EAUS) and Magnetic Resonance Imaging (MRI) in preoperative evaluation of the primary tract and internal opening of perianal fistulas, of secondary extensions and abscess. Methods. During 2014, 51 Crohn's disease patients suspected for perianal fistula were enrolled. All patients underwent physical examination with both the...