We report the case of an 80-year-old man who developed a colocutaneous fistula as a complication of anastomotic leakage following segmental colonic resection. The patient presented with an abscess of the abdominal wall, subcutaneous emphysema, pneumomediastinum, pneumothorax, pneumorrhachis, and pneumoscrotum. We discuss the possible mechanisms for these unusual clinical presentations of extrap...

A 64-year-old man was admitted to Shin-suma General Hospital, Kobe, Japan, complaining of a 3-day history of scrotal swelling and high fever. He had type 2 diabetes mellitus. On examination, his body temperature had risen to 38.5 °C. Examination of the scrotum showed abnormal enlargement. Laboratory data were as follows: white cell count 35,400/μL and glycated hemoglobin 9.6%. Anal fistula was ...

OBJECTIVES To review our experience with patients treated for anal fistula secondary to cryptoglandular disease and to determine factors that influence postoperative outcome. DESIGN Retrospective review. SETTING A regional tertiary referral center. PATIENTS Adult patients with anal fistula secondary to cryptoglandular disease. INTERVENTIONS Fistulotomy, advancement flap, and fistula plu...

An 11-month-old entire male Rottweiler was referred for further investigation of raised, soft, compressible, non-pulsatile, subcutaneous tubular structures along the right antebrachium that had been diagnosed to be a vascular malformation on histopathology biopsy. Computed tomographic (CT) with angiography did not reveal an arteriovenous or fistula. Ultrasonography limb demonstrated venous thro...

IMPORTANCE Chyle fistula is an uncommon complication of neck surgery. A variety of management strategies have been described, including diet restriction, parenteral nutrition, use of pressure dressings, and revision surgery. Octreotide has been used with success in patients with neck and thoracic chyle fistulas, but data regarding efficacy in neck chyle fistulas are lacking. OBJECTIVE To eval...

Goal. To review the literature data on wound complications after prosthetic repair of hernial defects anterior abdominal wall, causes and methods prevention.Results. An analysis has shown that problem during endoprosthetics for external hernias not been completely solved. Among all postoperative such hernias, seroma, infiltration prolonged exudation are most common, less often ligature fistula,...

This report describes the case of spontaneous nephro-cutaneous fistula with pyonephrosis due to renal calculi and obstructive nephropathy without renal surgery or trauma history in two dogs. A five-year-old, female, Shih-tzu and a seven-year-old, female, Maltese were presented with erythematous swelling, and subcutaneous abscess formation in their flanks. Complementary exams were performed and ...

BACKGROUND The oral multi-kinase inhibitor sunitinib malate improves the survival of patients with gastrointestinal stromal tumors (GIST) after the disease progresses or intolerance to imatinib mesylate develops. Urinary fistulae arising during treatment with sunitinib for GIST have not been described. CASE PRESENTATION We describe a 62-year-old female patient diagnosed with unresectable GIST...

The clinical course of perianal fistulas and associated abscesses was evaluated prospectively in 90 patients with Crohn's disease. Fistula type, rectal disease, faecal diversion, and immunosuppression were examined as prognostic indicators for fistula healing and recurrence. Median follow up was 22 months. The outcome was evaluated with life table analysis. Prognostic factors were analysed by m...