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At least 109 records · Page 6Linked to original sources
PubMed1976

Fistula-in-ano: a ten-year follow-up study of horseshoe-abscess fistula-in-ano.

A preliminary report in 1965 described a conservative surgical procedure for the management of acute and chronic horseshoe anal fistulas. The operation has been used exclusively at the Ochsner Clinic for this problem since 1963. Forty-one patients were treated from 1963 to 1973. The paper reviews the pathology of acute and chronic horseshoe anal fistulas and describes the surgical procedure for both acute and chronic horseshoe abscess anal fistulas with accompanying illustrations. The excellent results with minimal deformity of the anus and anal canal are attributed to avoidance of severing the superficial external sphincter between its coccygeal origin and the anus. Of the 41 patients treated in the period from 1963 to 1973, healing was good, and there has been no recurrence.

Abscess↗
PubMed2004

Embolisation of both fistulae through the same carotid artery tear in a patient with bilateral traumatic caroticocavernous fistulae.

Endovascular treatment of traumatic caroticocavernous fistulae (CCF) may present technical difficulties with specific angiographic dilemmas. We report endovascular techniques used in a patient with bilateral post-traumatic CCF, high-flow on one side, and slow-flow on the other. Complete closure of both was achieved through the same carotid artery tear. To our knowledge, transarterial venous coil embolisation of a low-flow fistula through a contralateral carotid artery tear, with transarterial detachable balloon embolisation of the ipsilateral high-flow fistula has not been described previously.

Adult↗
PubMed2003

Hearing preservation in perilymphatic fistula due to a congenital fistula in an adult.

Congenital fistula in the stapedial footplate usually can be diagnosed by the recurrence of meningitis caused by spontaneous cerebrospinal fluid (CSF) in infants or young children. We report the case of a 65-year-old woman, who was initially diagnosed as having an acquired perilymphatic fistula caused by aural barotrauma and demonstrated episodic vertigo and fluctuant sensorineural hearing loss in the right ear after air travel. Surgical exploration showed a congenital circular defect in the peripheral part of the stapedial footplate with leakage of CSF. The fistula was closed by inserting a tiny piece of fascia attached to both the tympanic and perilymphatic side of the stapedial footplate utilizing the back-pressure of perilymphatic fluid and fibrin glue; hearing was preserved.

Aged↗
PubMed2002

Methylene blue staining and probing for fistula resection: application in a case of bilateral congenital preauricular fistulas.

Preauricular sinus and fistulas are minor developmental anomalies. They are bilateral in 35% to 50% of cases. We describe the application of a combined technique in a rare case of bilateral congenital preauricular fistulas. Initial fistula probing serves as a surgical guide, and further methylene blue infection helps to avoid leaving viable squamous epithelial remnants.

Adult↗
PubMed1980

Congenital arterio-venous fistulas (4 systemic extra-visceral fistulas).

Arterio-venous fistulas are rare in children but usually congenital. We report four cases which are very unusual because of their origin or their localization. We compiled a classification of congenital fistulas which is easily used and collected 582 cases of congenital arterio-venous fistulas from the literature.

Adolescent↗
PubMed1991

Unilateral diffuse pulmonary artery involvement in Takayasu's arteritis associated with coronary-pulmonary artery fistula and bronchial-pulmonary artery fistula: a case report.

Diffuse involvement of the right pulmonary artery associated with fistulas between the pulmonary artery and systemic artery is reported in a woman with Takayasu's arteritis. The most proximal portion of the abdominal aorta was pronouncedly narrowed and the aortic wall was markedly calcified. Both the celiac artery and the superior mesenteric artery were totally occluded and drained by the meandering artery arising from the inferior mesenteric artery. The proximal right pulmonary artery was focally narrowed and the middle lobe artery was occluded. All other branches of the right pulmonary artery were diffusely narrowed with sparse distributions of their distal branches. Fistulas were identified between the right coronary artery and the right pulmonary artery and between the right bronchial artery and the right pulmonary artery. This is the first English report of Takayasu's arteritis presenting with a coronary-pulmonary artery fistula that is secondary to a diffuse unilateral involvement of the pulmonary artery.

Aorta, Abdominal↗
PubMed2002

[Spinal dural arteriovenous fistulae associated with perimedullary arteriovenous fistulae: imaging characteristics and surgical treatment].

OBJECTIVE: To enhance the clinical doctors' cognizance of atypical spinal dural arteriovenous fistulae (SDAVFs) associated with perimedullary anteriovenous fistulae (PMAVFs). METHODS: The clinical imaging and surgical therapy of 3 patients with PMAVFs were analyzed retrospectively. RESULTS: The clinical presentations of the 3 patients were not significantly different from those of typical SDAVFs. They were verified by repeated spinal angiography that the anterior spinal artery (ASA) is supplied to the drainage-vein. The 3 patients were treated surgically. First two operations were performed to eliminate the supply of ASA and dural branch, then the supply of the dural branch was amputated, and finally both the ASA and dural branch supplies were excised successfully. Clinical symptoms of the 3 patients were improved after treatment. CONCLUSIONS: It is necessary to perform thorough spinal angiography in patients with SDAVFs to exclude another fistula. The key point in the treatment of such patients is successfully to terminate both the spinal feeder and dural branch feeder.

Adult↗
PubMed1991

[Use of fistula extraction in the treatment of non-ramified pararectal fistulas].

A method of fistula extraction was used in treatment of 42 patients with non-ramified pararectal fistulas. The duration of hospital stay of the patients was 8 days, that of their out-patient treatment--14 days. Within a follow-up period of from 3 mos to 2 yrs, 1 patient with intra-sphincteric fistula developed a disease recurrency.

Adult↗
PubMed1991

[A case of bilateral multiple pulmonary arteriovenous fistula treated by the right fistula plication and resection of the left lingual lobe with use of microwave tissue coagulator (MTC)].

A 53-year-old man with the history of brain abscess and multiple cerebral arterio-venous malformations underwent the staged operation for bilateral multiple pulmonary arterio-venous fistulas (PAVF). Right fistula plication and the resection of the left lingular lobe using MTC were performed through posterolateral thoracotomy. Postoperatively, the patient showed the right residual fistula, but, he has been doing well without PAVF complications such as polycythemia and hypoxemia. In conclusion, 1) PAVF with central nervous system complications should be treated aggressively either by surgery or by embolization. 2) MTC was useful for the resection of the lung because of no air leak and bleeding coming from the resected section.

Arteriovenous Fistula↗
PubMed1985

Genitourinary fistulae. Vaginal approach for repair of vesicovaginal fistulae.

Controversy still remains concerning the timing of repair, the type of approach, and the technical guidelines most likely to prevent recurrence of both radiated and nonradiated vesicovaginal fistulae. The authors advocate the transvaginal approach because it avoids a cystotomy and involves minimal blood loss and consequently is followed by less postoperative discomfort and a shorter hospital stay. Included in this discussion are the techniques and results of the transvaginal approach for simple vesicovaginal fistulae as well as for complex cases and radiation fistulae.

Catheters, Indwelling↗
PubMed1995

[Surgical treatment of carotid-cavernous fistulas. A description of open surgical techniques in the treatment of carotid-cavernous fistula with preserved normal flow in the internal carotid artery].

We have used a packing technique for surgical treatment of carotico-cavernous fistulas, which allows preservation of the flow in the internal carotid artery. We have treated six patients for carotico-cavernous fistulas with this technique, and in all patients the preoperative symptoms and signs disappeared completely. One patient still had a slight paresis of the left abducent nerve due to the operation three months after the operation. Surgical treatment of carotico-cavernous fistulas is effective and probably preserves the flow in the internal carotid artery.

Adult↗
PubMed2005

Aortobronchial fistula resulting from a mycotic pseudoaneurysm after treatment of an aortoesophageal fistula due to a thoracic aortic aneurysm.

A 58-year-old man was admitted for an aortoesophageal fistula (AEF) resulting from a thoracic aortic aneurysm. He underwent immediate in-situ prosthetic graft replacement, primary esophageal repair and wrapping of the aneurysm. Postoperative upper gastrointestinal endoscopy and computerized tomography (CT) findings were unremarkable. He was discharged on postoperative day (POD) 25. Three months after surgery, he was readmitted with complaints of worsening cough and hemoptysis. CT showed a thrombosed aneurysm adjacent to the left bronchus. Aortobronchial fistula due to mycotic pseudoaneurysm was suspected. The patient underwent immediate resection of the infected graft and prosthetic graft replacement positioned to avoid the infected area. The graft was wrapped with omentum. On POD 7, pleural empyema developed, and esophagography revealed a residual leak. Staged reconstruction of the esophagus was performed successfully. We conclude that even if the fistulous opening is small, simultaneous esophageal resection should be performed during the initial treatment of AEF.

Aneurysm, False↗
PubMed1995

[Nephro-jejunal fistula associated with nephro-cutaneous fistula].

The development of a renal fistula is a rare event which results from an acute or chronic inflammatory process in the kidney. The authors report a very rare case of nephrojejunal and nephro-cutaneous fistulas due to acute and chronic pyelonephritis in a patient with staghorn stones of the left kidney.

Aged↗
PubMed2005

Gastropericardial fistula and Candida kruzei pericarditis following laparoscopic Nissen fundoplication (gastropericardial fistula).

We report a case of gastropericardial fistula and Candida kruzei pericarditis one year after laparoscopic Nissen fundoplication. Chest X-ray and CT revealed pneumopericardium. Barium swallow, UGI, endoscopy, and bronchoscopy were negative. Pericardial exploration was performed through a sternotomy. Intraoperative fistulogram revealed a tract into the stomach. A midline abdominal incision allowed identification of the slipped Nissen, resection of the fistula tract, and subsequent re-do fundoplication. The patient was treated with amphotericin and remains symptom-free 10 months after her operation. We recommend both sternotomy and midline abdominal incisions to explore and access the pericardium, stomach, esophagus, and diaphragm.

Candidiasis↗
PubMed1991

[Fistula--fistula disease].

Management of the fistula disease is complex and requires definition of the exact underlying pathological anatomy by inspection and fistulography. Surgical intervention is required treatment of cause. The incision of fistula is the basic surgical treatment.

Female↗
PubMed2001

Posterior cranial fossa arteriovenous fistula with presenting as caroticocavernous fistula.

We report cases of posterior cranial fossa arteriovenous fistula (AVF) with presenting with exophthalmos, chemosis and tinnitus in 26- and 66-year-old men. The final diagnoses was vertebral artery AVF and AVF of the marginal sinus, respectively. The dominant venous drainage was the cause of the unusual presentation: both drained from the jugular bulb or marginal sinus, via the inferior petrosal and cavernous sinuses and superior ophthalmic vein. We used endovascular techniques, with coils and liquid adhesives to occlude the fistulae, with resolution of the symptoms and signs.

Adult↗
PubMed2003

Cavernous sinus fistulas: carotid cavernous fistulas and dural arteriovenous malformations.

Direct and indirect carotid cavernous sinus fistulas are uncommon vascular anomalies that result in increased pressure in the cavernous sinus. The subsequent changes in blood flow lead to orbital venous congestion, cranial neuropathies, and glaucoma. The following review summarizes knowledge of the clinical features, natural history, diagnostic testing, and therapy for carotid cavernous sinus fistulas.

Angioplasty↗
PubMedDate not supplied

Creation of secondary arteriovenous fistulas: maximizing fistulas in prevalent hemodialysis patients.

National Kidney Foundation Dialysis Outcomes Quality Initiative (NKF-DOQI) guideline 29 suggests that a patient should be evaluated for a secondary arteriovenous fistula (AVF) following each episode of dialysis access failure. Regretfully, it does not appear that this approach is used, even though recent data have emphasized that veins suitable for the creation of a secondary AVF can be identified in dialysis patients who are receiving dialysis via a synthetic arteriovenous graft (AVG) or other type of potentially dysfunctional vascular access. In this study nine patients (five with an AVG and four with an AVF) with vascular access dysfunction undergoing percutaneous interventions were evaluated for secondary AVF creation. All were found to have suitable vascular anatomy and had the AVF created. The secondary fistula was successful in all nine patients with a mean follow-up of 4.8 +/- 1.4 months in post-AVG cases and 5.6 +/- 1.7 months in the post-AVF patients. In addition, it was possible to continue uninterrupted dialysis without the use of a tunneled dialysis catheter in three of the patients with AVGs. This experience demonstrates the validity and success of this approach to the management of dialysis access dysfunction. In the ongoing effort to optimize vascular health status, we suggest that during percutaneous interventions, patients should routinely have identification of vessels suitable for creation of a secondary AVF.

Adult↗