Результаты поиска

A Peculiar Tracheoesophageal Fistula Caused by a Plastic Foreign Body.

The occurrence of tracheoesophageal fistula (TEF) in children is commonly attributed to the presence of foreign bodies. This paper presents a unique case admitted to the Children's Hospital of Nanjing Medical University on August 9, 2022, where a plastic fragment resembling a doll's eye was identified as the precipitating factor. The report investigates the unusual trajectory of this case-examining the pathway through which the foreign body became lodged in the trachea, followed by the subsequent development of TEF-and provides valuable insights into its pathogenesis and clinical significance.

Rectal fistula induced artificial vascular graft infection: A case report.

RATIONALE: Artificial vascular graft infection (AVGI) is a rare but severe complication in vascular surgery, often associated with high morbidity and mortality. This case report highlights a unique instance of AVGI caused by a rectal fistula, emphasizing the diagnostic challenges and management strategies in such a rare scenario. PATIENT CONCERNS: A 60-year-old female presented with low-grade fever and purulent discharge from an abdominal incision 1 year after antibiotic therapy had failed to resolve the infection. She had a history of aortofemoral dacron graft bypass 6 years prior, complicat…

Lymphoma Induced Chylothorax Complicated by Disseminated Histoplasmosis and Esophagopericardial Fistula.

This case report highlights the need to consider both infection and malignancy in the differential of a chylothorax, particularly in an immunosuppressed patient. The case demonstrates the challenges in treating a chylothorax, both in terms of appropriate drainage and the necessity to maintain a low-fat diet. The case also presented challenges in treating histoplasmosis, both in terms of renal effects of amphotericin B and the effect of a low-fat diet on an oral antifungal agent. Although infection may be controlled with appropriate antifungal agents, the underlying hematologic malignancy must

Erratum: Recurrent transient global amnesia related to dural arteriovenous fistula.

[This corrects the article DOI: 10.1590/1980-5764-DN-2024-0222.].

Evidence outside the box: Minimally invasive treatment for anal fistula.

Management of the complex anal fistula represents a perennial challenge to surgeons. Conventional approaches often upset the balance between recurrence prevention and continence preservation with their high failure rates and significant associated morbidity. The emergence of minimally invasive treatment in recent years, however, offers a promising paradigm shift. Regenerative solutions like autologous stem cell therapy or fistula plugs with extracellular and synthetic matrices represent new frontiers in anal fistula treatment, harnessing physiological regenerative capacities and avoiding the t…

Total Approach to Postoperative Fistula After Head and Neck Reconstruction.

Head and neck reconstructive surgery is a complex and lengthy procedure that carries a high postoperative complication risk. At our institution, the authors have successfully minimized fistula formation incidence following immediate reconstructive surgery after tumor resection by accurately assessing the post-tumor resection status and taking appropriate measures. The authors describe the approach of our institution to prevent fistulas during reconstruction and our response when fistulas occur. Using our theory, the authors investigated the presence of wound infection and fistula formation in …

Pancreatico-Colonic Fistula: A Case Report on Diagnosis and Management.

Pancreatico-enteric fistulas are rare complications of chronic pancreatitis, with colonic involvement carrying particularly high morbidity and mortality. Early recognition and prompt surgical management are critical to improving outcomes. We present a case of a patient with necrotizing pancreatitis who developed a pancreatico-colonic fistula five months following initial hospitalization. A male in his 40s with a history of poorly controlled diabetes, hypertension, and gallstone pancreatitis (status post-cholecystectomy) was transferred to our tertiary care hospital in septic shock. Imaging rev…

Ознакомление с медикаментозным риском возникновения фистулы, вызванной лекарственными препаратами.

КОЛИЧЕСТВО: Грубые артериогенные свищи (DAVF) представляют собой значительную угрозу для здоровья в связи с высоким коэффициентом неправильного диагноза. Согласно сообщениям о конкретных случаях, ДАВФ или связанные с ними острые явления могут следовать за употреблением лекарств; однако факторы риска, связанные с наркотиками, остаются неясными. В клинической практике одновременное использование нескольких лекарственных средств для лечения известно как «полифарматические ситуации», что еще больше повышает риск злоупотребления наркотиками. Исследования реального мира, связывающие лекарства и ДАВФ

Совпадение в аннотации оригинала
BACKGROUND: Dural arteriovenous fistulas (DAVFs) pose a significant health threat owing to their high misdiagnosis rate. Case reports suggest that DAVFs or related acute events may follow medication use; however, drug-related risk factors remain unclear. In clinical practice, the concomitant use of multiple drugs for therapy is known as "polypharmacy situati…

Cardiac-to-Bronchial Fistula in Hepatocellular Carcinoma: A Case Report.

Hepatocellular carcinoma (HCC) stands as a significant contributor to cancer-related mortality globally. While the acute and often fatal man … s the necrotic tissue invaded the pleural space, subsequent tumor-to-bronchial and tumor-to-cardiac fistulas emerged, resulting in an abnormal connection between the respiratory and cardiovascular systems, leading to massive air emboli in circulation. This report highlights the risk of supradiaphragmatic complications in HCC patients with post-treatment s …

Dural Arteriovenous Fistula in Neuro-Behçet's Disease: Association or Chance?

Behçet's disease (BD) is a multisystemic vasculitis disorder. Neuro-Behçet's disease (NBD) is a set of neurologic symptoms imputable to an underlying Behçet vasculitis. Among the wide range of vascular abnormalities secondary to BD, a dural arteriovenous fistula (dAVF) is not classically described. Whether a dAVF is associated with BD or dAVF is a chance occurrence is still a matter of debate. Herein, we describe an NBD case of a 48-year-old male, presenting with headache and fever, where a dAVF was seen on imaging. He was treated with prednisolone and colchicine, followed by the surgical rese…

Indirect Carotid Cavernous Fistula with Ocular Manifestations: A Case Report.

Carotid-cavernous fistulas are rare entity with incidence of less than 1%, refers to abnormal connections between the carotid artery and cavernous sinus. Indirect types usually occur in elderly female patients and can resolve spontaneously with conservative management like external manual compression of the carotid artery. We report a case of 65-year-old female who presented with complaints of redness, proptosis, chemosis, headache and ophthalmoplegia in her right eye. Digital subtraction angiography revealed Barrow type B indirect carotid-cavernous fistulas. External manual carotid compressio…

Pediatric peri-medullary arteriovenous fistula: Pearls for diagnosis and treatment.

Pediatric type IVc perimedullary arteriovenous fistulae (PAVF) comprise a rare subcategory of spinal vascular malformations in which multiple spinal arteries directly connect with draining veins resulting in high-flow arteriovenous shunting and large intradural venous varicosities. Complete disconnection of the fistula is necessary to prevent hemorrhage or spinal compression. A surgical, rather than endovascular, approach proves favorable under specific circumstances. Due to the rarity of these pediatric fistulae, no large studies exist to enumerate these circumstances. This case report fills …

Unveiling Complexity: Black Pleural Effusion Due to a Pancreaticopleural Fistula.

Black pleural effusions (BPEs) are an exceedingly rare class of exudative effusions of unexplored causality. Their characteristic pitch-black coloring and striking first appearance upon thoracocentesis make them a bewildering occurrence even for seasoned physicians. Forming a free-from-error diagnostic work-up can be arduous and largely depends on thorough history-taking, deliberate imaging studies, and the correct biochemical profile. The upcoming article aims to raise awareness of this pathology by presenting our experience with a BPE after an episode of acute-on-chronic (ACP) pancreatitis a

The management of high flow arteriovenous fistula and possible solutions.

BACKGROUND: The development of a high flow rate arteriovenous fistula (AVF) can expose the patient to development of heart failure due to increased cardiac preload and pulmonary hypertension. OBJECTIVES: AVF flow measurement (Qa) is considered a screening tool for AVF surveillance, aiming to evaluate the access dysfunction and prevent complications, like a non-maturation, suspected stenosis, high-flow AVF, and distal ischemia. In the upper arm AVF, a high Qa may develops, which can expose the patient to the risk of high-output heart failure and ischemia. Although, the exact threshold to defin…

[Our innovations for the reduction of postoperative pancreatic fistula output].

Bevezetés: A posztoperatív pancreasfistula mind proximalis, mind distalis pancreatectomia után a legjelentősebb sebészi szövődménynek számít. A szakirodalomban nincs egyértelműen ajánlott, megbízható módszer ezen probléma kiküszöbölésére, emiatt történnek újítások szerte a világon. Jelen közleményünkben a technikai innovációinkról számolunk be. Anyag és módszerek: 2013. január 1-jétől 2023. november 30-ig terjedő időszakban 205 Whipple-műtétet végeztünk nyitottan, mely során a pancreatojejunalis anastomosist az általunk módosított dohányzacskó-öltéses módszerrel készítettük el. 2019. január 1.…

Acute gastric volvulus secondary to H-type tracheo-oesophageal fistula.

H-type tracheo-oesophageal fistula is an uncommon type of tracheo-oesophageal malformation. Acute gastric volvulus is another infrequent pathology in children. They rarely present together.We report the case of a toddler with acute gastric volvulus possibly secondary to an undiagnosed H-type tracheo-oesophageal fistula. The fistula was suspected due to persistent gastric distention observed during volvulus detorsion. This kind of tracheo-oesophageal fistula often presents with subtle symptoms making early diagnosis difficult.Acute gastric volvulus is a life-threatening condition. Gastric diste…

Cholecystocolonic Fistula: A Case of Chronic Diarrhoea and Hidden Stones.

A cholecystocolonic fistula (CCF) is a rare cause of chronic diarrhoea. It most often occurs in elderly women as a result of chronic inflammation due to gallstone disease or, rarely, malignancy. Curative treatment consists of cholecystectomy with excision of the fistula tract, but it is often overlooked preoperatively and thus entails a higher risk of postoperative complications. Here, we present a case of a 78-year-old woman with chronic diarrhoea who was diagnosed with a CCF during a colonoscopy. Cholecystectomy was complicated by acute cholangitis due to an obstructive stone in the common b…

Detection of Oronasal Fistula Using a Fluorescent Water Passing Test.

The confirmation of a connection between the oral and nasal cavities provides a definitive diagnosis for an oronasal fistula (ONF). However, visual detection is difficult in patients with small fistulas. This study examined whether fluorescein sodium could be used to detect small ONFs. The study included 25 dogs that underwent dental examination and had confirmed periodontal pockets at the Amica Pet Clinic, Japan, between 2020 and 2022. Saline containing fluorescein sodium was injected into the periodontal pocket, termed a fluorescent "water-passing test," followed by detection of fluid discha…