Gallstone ileus with an enterovaginal fistula: a rare complication of pelvic radiotherapy.
| Autor: | Wali L; Maidstone and Tunbridge Wells NHS Trust, Kent, United Kingdom., Husain F; Dartford and Gravesham NHS Trust, Kent, United Kingdom., Ali S; Croydon Health Services NHS Trust, London, United Kingdom., Humphries S; Maidstone and Tunbridge Wells NHS Trust, Kent, United Kingdom., Turner L; Maidstone and Tunbridge Wells NHS Trust, Kent, United Kingdom., Johnson-Smith T; Maidstone and Tunbridge Wells NHS Trust, Kent, United Kingdom., Gough-Palmer A; Maidstone and Tunbridge Wells NHS Trust, Kent, United Kingdom. |
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| Jazyk: | angličtina |
| Zdroj: | BJR case reports [BJR Case Rep] 2020 Aug 05; Vol. 6 (4), pp. 20200060. Date of Electronic Publication: 2020 Aug 05 (Print Publication: 2020). |
| DOI: | 10.1259/bjrcr.20200060 |
| Abstrakt: | Gallstone ileus is a rare cause of small bowel obstruction. Chronic gallstone irritation can lead to the formation of a cholecystoduodenal fistula, with gallstone impaction typically in the terminal ileum. Rarely gallstones can become impacted in other structures such as the colon or can even erode through the bowel. We present an unusual case of a gallstone ileus which resulted in the formation of an enterovaginal fistula, secondary to previous pelvic radiotherapy. Our case highlights the importance of considering fistula formation as a late complication of radiotherapy and how this can alter expected features of other pathologies, such as a gallstone ileus. (© 2020 The Authors. Published by the British Institute of Radiology.) |
| Databáze: | MEDLINE |
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