we report a case of a 40 year old man with portal hypertension caused by a splenic arteriovenous fistula that was diagnosed at laparotomy. he presented with bleeding esophageal varices and was initially treated by sclerotherapy. at laparotomy, portal pressure was 40 cmh20 but fell to 20 cm h20 after the fistula was treated with splenectomy. all symptoms disappeared shortly after operation and t...

conclusions in our case the prfg completely resolved a long-standing fistula resistant to exhaustive conservative management. the treatment with prfg has been proved to be effective in the selected cases and it seems that traumatic esophago-cutaneous fistula may be one of these selections. application of fibrin sealant should be considered early in the management of these difficult clinical pro...

BACKGROUND Obstetric fistula is a severe condition which can have devastating consequences for a woman's life. Despite a considerable literature, very little is known about its prevalence. This project was conducted to carry out a situational analysis of fistula services in South Sudan and to pilot test the Key Informant Method (KIM) to estimate the prevalence of fistula in a region of South Su...

aortoenteric fistula is a rare but significant clinical entity associated with high morbidity and mortality if remain untreated. clinical presentation and imaging findings may be subtle and prompt diagnosis can be difficult. herein, we present a patient who initially presented with abdominal pain and computed tomography showed an aortic aneurysm compressing duodenum without any air bubbles. one...

OBJECTIVE To outline two cases of congenital tracheocutaneous fistula and discuss the potential pathogenesis of this previously unreported developmental abnormality. METHODS Two cases of tracheocutaneous fistula evaluated at John Peter Smith Hospital (Fort Worth, TX) from May to October 2001 were reviewed. The surgical treatment of one infant is described. RESULTS Two infants were evaluated...

a 43-year-old man with liver cirrhosis received transjugular intrahepatic portosystemic shunt (tips) for the treatment of recurrent variceal bleeding and f3 esophageal varices. during routine follow up liver ultrasound examination, six months after the implantation, tips occlusion was suspected and tips revision was performed. during the revision, moderate to severe stenosis at the hepatic veno...

conclusion metallic stent placement is a safe and effective procedure for salvage of native hemodialysis fistula after unsuccessful balloon angioplasty. results twenty-one stents were applied. the anatomical and clinical success rate was 100%. seventeen additional interventions were done for 11 (55%) patients due to stent thrombosis or stenosis during follow-up. our 1- and 2-year secondary pate...

objective: pemphigus is a rare autoimmune disease that may be fatal without proper medical intervention. it is a blistering disease that involves both the skin and mucus membranes, in which the most important causes of death comprise superimposed opportunistic infections and complications of long-term high-dose corticosteroid therapy or prolonged consumption of immune suppressant drugs. skin le...