1.A Case of Duodenal Diverticulum Accompanied with Choledochoduodenal and Pancreaticoduodenal Fistulas.
Sang Ik WHANG ; Jin Bae KIM ; Hae Ri LEE ; Il Hyun BAEK ; Yun Jung CHANG ; Sung Won JUNG ; Myung Seok LEE
The Korean Journal of Gastroenterology 2006;47(5):386-388
Choledochoduodenal fistula (CDF) occurring simultaneously with pancreaticoduodenal fistula is extremely rare. CDF has known to be a chronic sequela of cholelithiasis, but it is unknown whether pancreaticoduodenal fistula results from chronic cholelithiasis as well. We report a case of cholelithiasis accompanied with choledochoduodenal and pancreaticoduodenal fistula opening into small suprapapillary diverticulum in a 80-year-old woman.
Aged, 80 and over
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Biliary Fistula/*complications
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Cholelithiasis/complications
;
Common Bile Duct Diseases/*complications
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Diverticulum/*complications
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Duodenal Diseases/*complications
;
Female
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Humans
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Intestinal Fistula/*complications
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Pancreatic Fistula/*complications
2.An Ileocutaneous Fistula That Developed 12 Years after Repair of an Abdominal Wall Defect Using Intraperitoneal Placement of High-density Polypropylene Mesh (Marlex(R)).
Woo Sung HONG ; Jun Min LEE ; Hong CHUNG ; Tong Wook KIM ; Sang Kuk YANG ; Hong Sup KIM ; Tae Ui LEE
Journal of the Korean Surgical Society 2009;76(2):119-122
Although prosthetic materials are commonly used to repair abdominal wall defects, they are also associated with postoperative complications. These complications could be prevented by the adoption of uniform guidelines on surgical methods and materials, but the best anatomical position for placement of prosthetic meshes is unclear. We report a case of an enterocutaneous fistula that developed after an abdominal wall defect was repaired by intraperitoneal application of a prosthetic mesh (Marlex(R)) to raise awareness of the consequences of improper use of prosthetic materials.
Abdominal Wall
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Adoption
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Fistula
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Intestinal Fistula
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Polypropylenes
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Postoperative Complications
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Surgical Mesh
3.A Case of Optic Neuritis Associated with Crohn's Disease.
Sung Hee HAN ; Oh Young LEE ; Sun Young YANG ; Dae Won JUN ; Hang Lak LEE ; Yong Cheol JEON ; Dong Soo HAN ; Joo Hyun SOHN ; Byung Chul YOON ; Ho Soon CHOI ; Joon Soo HAHM ; Min Ho LEE ; Dong Hoo LEE ; Choon Suhk KEE
The Korean Journal of Gastroenterology 2006;48(1):42-45
In Crohn's disease, neurologic complications such as cerebrovascular accident, headache, peripheral neuropathy have been reported sporadically. The pathogenesis of these neurologic complications is still unknown and controversial. We experienced a 22-year-old man, with Crohn's disease accompanied by optic neuritis. Loss of visual acuity was developed during the worsening course of enterocutaneous fistula. After high dose steroid treatment, his visual acuity and neurologic symptoms improved immediately.
Adult
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Crohn Disease/*complications/drug therapy/pathology
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Humans
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Intestinal Fistula/complications
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Male
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Optic Neuritis/*complications/diagnosis
4.Ileovesical Fistula Caused by Hepatocellular Carcinoma.
Jeong Rae BYUN ; Sang Hee CHO ; Deok Hwan YANG ; Yeo Kyeoung KIM ; Jae Kyun JU ; Sung Kyu CHOI ; Ik Joo CHUNG
The Korean Journal of Internal Medicine 2005;20(1):76-79
Ileovesical fistula is a very rare clinical entity, the most frequent cause of which is Crohn's disease. Furthermore, it is an exceptionally rare complication of malignancies. We experienced one case of ileovesical fistula which had been caused by hepatocellular carcinoma (HCC) arising from the noncirrhotic liver. A 27-year-old man was diagnosed with HCC in a noncirrhotic liver. Despite treatment with transarterial chemoembolization (TACE), the disease status became more aggravated. The patient complained of dysuria, fecaluria, and intermittent lower abdominal pain. Pelvic CT scan showed a soft tissue mass of 6 cm abutting on the distal ileum which was downwardly displaced. Barium study of the small bowel showed a fistula between the small bowel loop and the urinary bladder. Upon operation, adhesion and fistula were found between the ileum and the urinary bladder. The microscopic findings of the surgical specimen were compatible with metastatic HCC. We confirmed that ileovesical fistula had been caused by metastatic HCC.
Adult
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Bladder Fistula/*etiology
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Carcinoma, Hepatocellular/*complications
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Humans
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Ileal Diseases/*etiology
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Intestinal Fistula/*etiology
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Liver Neoplasms/*complications
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Male
5.Diagnosis and management of Crohn disease complicated with gastrointestinal fistulae.
Jian-an REN ; Qing-song TAO ; Xin-bo WANG ; Yun-zhao ZHAO ; Shu-jian HONG ; Guo-sheng GU ; Lei LIU ; Jie-shou LI
Chinese Journal of Gastrointestinal Surgery 2005;8(2):117-120
OBJECTIVETo investigate the diagnosis and treatment of patients with Crohn disease (CD) complicated with gastrointestinal fistulae.
METHODSClinical data of sixty-two cases with CD complicated with gastrointestinal fistula e from 1978 to 2004 were analyzed.
RESULTSThese were 68 external fistulae in 6 2 patients including recurrent fistulae in 6 cases, internal fistulae in 8 cases . Twenty- seven fistulae were located in the terminal ileum and 21 fistulae wer e located in ileocolic anastomosis site. The main surgery included 14 ileocecal resections with primary anastomosis and 26 resections of original ileocolic anastomosis with fistula and re-anastomosis. The incidence of recurrence was lower (15.4% ) in patients with postoperative medication including sulfasalazine and immunomodulator than that (34.8% ) in patients without postoperative immunomodulator,but the recurrence time was longer [(40+/- 17) months] in patients with postoperative medication than that [(8+/- 3)months] in the patients without postoperative specific medication.
CONCLUSIONSMost CD fistulae are external fistulae,most of the external fistulae are treated by resection of the fistula and anastomosis. Specific medication including sulfasalazine,mesalamine and immunomodulators should be used to prevent postoperative complications and CD recurrence.
Adult ; Crohn Disease ; complications ; diagnosis ; surgery ; Female ; Humans ; Intestinal Fistula ; complications ; diagnosis ; surgery ; Male ; Middle Aged
7.Bowel prolapse following spontaneous rupture of a femoral hernia.
Tin Aung SEIN ; Ashok DAMODARAN
Singapore medical journal 2012;53(9):e182-3
This case presents a rare complication of the spontaneous rupture of a femoral hernia in an elderly woman without causing much systemic effect despite the herniated bowel being necrosed and perforated, giving rise to an enterocutaneous fistula. The small bowel had also prolapsed through the fistula opening, making it a very rare and alarming presentation.
Aged
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Female
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Hernia, Femoral
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complications
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surgery
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Humans
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Intestinal Fistula
;
etiology
;
surgery
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Intestinal Perforation
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etiology
;
surgery
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Prolapse
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Rupture, Spontaneous
8.A Case of Lower Gastrointestinal Bleeding Caused by Primary Iliac Arterio-colic Fistula.
Young Il KIM ; Seon Young PARK ; Won Joo KI ; Ho Seok KI ; Kyoung Won YOON ; Hyun Soo KIM ; Sung Kyu CHOI ; Jong Sun REW
The Korean Journal of Gastroenterology 2010;56(2):113-116
Arterio-enteric fistula is a very rare cause of massive lower gastrointestinal hemorrhage. We report here on a case of massive hematochezia caused by iliac arterio-colic fistula in a 60-year-old woman who had a recent history of spinal surgery for herniated nucleus pulposus. Abdomen computed tomography showed the extravasation of radiocontrast media from right iliac artery encased by an intraabdominal abscess into the adjacent dilatated colon. Also, diagnostic angiography revealed the active extravasation of radiocontrast media via a fistula between right iliac artery and colon. Although successful endovascular exclusion of the fistula with stent graft and coils was performed, disseminated intravascular coagulation and multi-organ failure were developed.
Colonic Diseases/complications/*diagnosis
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Female
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Gastrointestinal Hemorrhage/*etiology
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Humans
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Iliac Artery/*radiography
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Intestinal Fistula/complications/*diagnosis
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Middle Aged
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Stents
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Tomography, X-Ray Computed
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Vascular Fistula/complications/*diagnosis
9.Enterobiliary Fistula as a Complication of Eosinophilic Gastroenteritis: a Case Report.
Korean Journal of Radiology 2008;9(3):275-278
Eosinophilic gasteroenteritis is an uncommon disease with variable clinical features characterized by eosinophilic infiltration. Clinical manifestations range from non-specific gastrointestinal complaints such as nausea, vomiting, crampy abdominal pain, and diarrhea to specific findings such as malabsorption, protein loosing enteropathy, luminal obstruction, eosinophilic ascites and effusion. We report here on a case of eosinophilic gastroenteritis causing enterobiliary fistula which is an extremely unusual complication.
Aged
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Biliary Fistula/diagnosis/*etiology
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Cholangiopancreatography, Magnetic Resonance
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Duodenal Diseases/*etiology
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Eosinophilia/complications
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Gastroenteritis/*complications
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Humans
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Intestinal Fistula/diagnosis/*etiology
;
Male
10.Successful resection of enterovesical fistula in a patient with sigmoid colonic malignancy.
Jun JIANG ; Fangqiang ZHU ; Qing JIANG ; Luofu WANG ; Jin YE ; Lianyang ZHANG
Chinese Medical Journal 2003;116(10):1588-1590
Adenocarcinoma
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complications
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Aged
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Colonic Diseases
;
etiology
;
surgery
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Humans
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Intestinal Fistula
;
etiology
;
surgery
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Male
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Sigmoid Neoplasms
;
complications
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Urinary Bladder Fistula
;
etiology
;
surgery