Eosinophilic granulomatosis with polyangiitis (EGPA) is a rare systemic small- and medium-sized-vessel vasculitis. The literature contains only a few reports of gastrointestinal perforation with this condition. We report a patient with EPGA treated with high-dose steroid who underwent emergency surgery for intestinal perforations. We performed a simple repair of the 11 perforations. Intestinal ...

Anorectal fistulas are common maladies. The challenge in therapy of perianal fistulas balances between the best possible cure and the preservation of continence. Complex fistulous disease challenges even the most experienced surgical specialists. The management options in these groups of patients are inadequate, with treatment often requiring multiple procedures, causing a risk for continued sy...

Cholecystocolonic fistulas (CCF) are rare complications of gallstones with a variable clinical presentation. Despite modern diagnostic tools, cholecystocolonic fistulas are often asymptomatic and it is difficult to diagnose them preoperatively. Biliary-enteric fistulae have been found in 0.9% of patients undergoing biliary tract surgery. The most common site of communication of the fistula is t...

We report a rare case of multiple coronary bronchial artery fistulas in a 34-year-old young male with cystic fibrosis and bronchiectasis while he was actively being worked up for a lung transplant. He had atypical chest pain with compromised left ventricular ejection fraction on echocardiogram. Patients with longstanding bronchiectasis can have acquired anomalous connections from coronary arter...

Fistulas-in-ano represent the squelae of perianal abscesses in up to 50% of cases. The two essential goals in the treatment of anal fistulas are to eliminate the primary fistula opening and any associated tracts and secondary openings, and avoid any detriment in fecal continence. No single technique exists that is appropriate for the management of all fistulas. With this in mind, a review of th...

Congenital hepatoportal arteriovenous fistulas are a rare cause of segmental portal hypertension and splenic vein thrombosis (1–4). These may be intrahepatic or extrahepatic in location and present during infancy or early childhood with portal hypertension and gastrointestinal bleeding secondary to varices, ascites, malabsorption, anemia, and congestion of the bowel (5). In childhood, arteriopo...

conclusions based on the results of this study and according to the 1117 sensitivity of mri, it’s useful to locate the perianal fistulas, reduce the chance of recurrence and postoperative complications and can contribute the healing process better than other diagnostic methods. results amongst the total of 14 patients,in 1 patient (7117) transsphincteric fistula, 11 patients (78167) intersphinc...

To reevaluate the current features of spontaneous internal biliary fistulas, we reviewed 1,929 consecutive patients who had been treated for biliary tract diseases during the recent 12-year period. Thirty-three patients had internal biliary fistulas and the incidence was 1.9%. Of 33 patients, 20 were women and 13 were men with the average age 63 years, and their mean duration of illness was 4 y...

BACKGROUND This study was conducted to investigate the risk factors of anastomotic fistula after the radical resection of esophageal-cardiac cancer. METHODS Five hundred and forty-four esophageal-cardiac cancer patients who underwent surgery and had complete clinical data were included in the study. Fifty patients diagnosed with postoperative anastomotic fistula were considered the case group...

INTRODUCTION Urogenital fistula is one of the most devastating complications that can result from labor or urogenital surgeries. It is still a frequent problem in the developing world. Urogenital fistulas can lead to devastating medical, social, and psychological problems; thus cause major impact on the lives of girls and women. However, these cases are still largely neglected in the developing...