Covered intestinal endoprosthesis for the management of enteroatmospheric fistula, case report and review of the literature.

The management of fistulas is a challenge for surgeons, the enteroatmospheric fistulas are characterized by being superficial, high debit and surrounded by viscera or granulation tissue, with poor control of its excretion due to their anatomy. We describe an alternative approach to the management of enteroatmospheric fistulas, in a patient with a hostile abdomen and massive intestinal resection, selected for placement of a stent, as a rescue measure. Use of intestinal stent allowed fistula control and enteric feeding capacity, that substantially improves the quality of life.

Frozen abdomen complicated with midline heterotopic peritoneal ossification: case report.

Background: Heterotopic ossification consists in abnormal differentiation of mesenchymal cells into osteoblastic cells, which may occur in the abdominal cavity.

Case Report: A 54-year-old male who presents with small bowel obstruction, performing a laparotomy, adhesiolysis, and managed with an open abdomen with Bogota bag; the abdominal wall was closed on the 5 post-operative day. Due to recurrent symptoms of intestinal obstruction, he required a re-laparotomy after 14 days, finding a frozen abdomen with midline calcified peritoneum.