Cutaneous squamous cell carcinoma (CSCC) overlying an arteriovenous fistula (AVF) is rare and presents unique challenges. This case report describes a method of preservation after CSCC excision using flow-through venous free flap. The saphenous vein the flap was used as segment for AVF preservation. inserted along dorsal aspect forearm wound microvascular anastomosis arterial inflow completed j...

appendicovesical fistula is an uncommon type of enterovesical fistula and a rare complication of unrecognized appendicitis. appendicovesical fistula often presents with recurrent or persistent urinary tract infection, especially in men. the commonest causes are appendicitis, cecal diverticulitis, and cystadenocarcinoma or carcinoid tumors of appendix. approximately 114 cases have been reported ...

Experience with a new technique of oesophagoplasty is presented, in which the proximal part of the oesophagus is transposed to the subcutaneous space in front of the sternum and anastomosed to the organ replacing the oesophagus. This kind of operation has been performed successfully in five cases. The advantages are: thoracotomy is avoided; oesophageal anastomosis is easily performed; anastomot...

Scalp arteriovenous fistulas (AVF) following hair transplantation are rare; few single case reports have been described. Therapeutic options include open surgery, percutaneous, and transarterial endovascular embolization; in recent years, these latter gained favour because of their minimally invasive approach also concerning post-treatment cutaneous appearance. A 29-year-old male after 3 months...

A 58-year-old man presented to the emergency department with diffuse swelling and crepitus of his face, chest, and extremities due to subcutaneous air (Figure). The patient had a history of lung cancer and had undergone a video-assisted transthoracic surgery (VATS) with decortications. His airway was maintained, and the patient reported only minimal shortness of breath with change in his phonat...

hospital with dysphagia, which had re− sulted from multiple cerebral infarctions. A 20−Fr gastrostomy tube was inserted under endoscopic guidance. The proce− dure was uneventful, and antibiotics were not administered (l" Fig. 1). Al− though the skin around the fistula showed no clinical signs of abnormality, the patient’s abdominal pain increased. Computed tomography showed a low− density area ...

A 15-year-old boy was referred to our emergency department for evaluation of subcutaneous emphysema. The patient had presented with gradual onset of dull resting chest pain lasting for almost an hour. The nature of the pain subsequently changed to sharp and radiated to his throat. He had undergone a chest X-ray at the outside emergency department which was remarkable for subcutaneous emphysema....

Mycetoma is a chronic suppurative disease of the skin and subcutaneous tissue, characterized by a symptomatic triad: tumor, fistulas and grains. It can be caused by fungi (eumycetoma) and bacteria (actinomycetoma), with similar clinical features. Diagnosis is based on the clinical presentation and identification of the etiological agents in the tissue, by mycological/bacteriological, histopatho...

Complex rectovaginal fistulas are uncommon but can be very difficult to manage. There are various techniques for repair, including endorectal advancement flaps, transperineal and transvaginal approaches, and fistula plugs, with varying success rates from 50-60% for the primary procedure to >70% after multiple procedures (1, 2, 3). For women with inflammatory bowel disease, history of radiation,...