Small bowel diverticulitis is an unusual condition but the development of a secondary enterovesical fistula is extremely rare. This report describes the second documented case of ileovesical fistula secondary to ileal diverticulitis. Definitive diagnosis was made by double-contrast enema and small bowel fluoroscopic examinations. Management should consist of dissection of the fistula with either resection or primary repair.
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[Pelvic exenteration for late complications of radiation-induced pelvic injury: a preliminary study].
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October 2023
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To investigate the safety and efficacy of total pelvic exenteration (TPE) for treating late complications of radiation-induced pelvic injury. This was a descriptive case series study. The inclusion criteria were as follows: (1) confirmed radiation-induced pelvic injury after radiotherapy for pelvic malignancies; (2) late complications of radiation-induced pelvic injury, such as bleeding, perforation, fistula, and obstruction, involving multiple pelvic organs; (3) TPE recommended by a multidisciplinary team; (4) patient in good preoperative condition and considered fit enough to tolerate TPE; and (5) patient extremely willing to undergo the procedure and accept the associated risks.
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January 2023
Department of Surgical Oncology, Université de Tunis El Manar Faculté de Médecine de Tunis, Tunis, Tunisia.
Laparoscopic management of Crohn's disease-related complex enterovesical, enterocutaneous and enteroenteric fistula: A case report.
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Department of Medical Gastroenterology, Bangalore Medical College, Bangalore, India.
The management of Crohn's disease is medical, with surgery reserved for emergencies and complications. Fistulizing Crohn's disease can present with either an internal or external fistula. Internal fistulae are common in patients with ileocolonic disease.
View Article and Find Full Text PDFEfficacy of Anti-Tumor Necrosis Factor-α Therapy Against Intestinal Behçet's Disease Complicated by Recurrent Enterocutaneous Fistulae.
Biologics
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Department of Gastroenterology, Jichi Medical University Saitama Medical Center, Saitama, Japan.
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- * He received steroids for remission and adalimumab for maintenance therapy, which initially closed the fistula and showed a positive clinical outcome.
- * After a relapse and the development of a subcutaneous abscess, his treatment was adjusted to infliximab with steroids, resulting in no further relapses, highlighting the lack of established treatment strategies for this condition.
Over 1-Year Followup of Laparoscopic Treatment of Enterovesical Fistula.
JSLS
March 2019
Department of General Surgery and Oncological Surgery-Surgery C, Sheba Medical Center, Tel Hashomer, Israel.
Background And Objective: Entero vesical fistulas (EVFs) are an uncommon complication mainly of diverticular disease (70%) and less commonly of Crohn's disease (10%). Only about 10% are caused by malignancies. At this time, it is unclear whether the laparoscopic approach can be routinely proposed as a safe procedure for patients with EVF.
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