| Autor: |
S, Bancu, C, Borz, O, Jimboreanu, D, Zamfir, G, Popescu |
| Jazyk: |
Romanian; Moldavian; Moldovan |
| Rok vydání: |
2003 |
| Předmět: |
|
| Zdroj: |
Chirurgia (Bucharest, Romania : 1990). 96(5) |
| ISSN: |
1221-9118 |
| Popis: |
For patients with ulcerative colitis and familial adenomatous polyposis the restorative proctocolectomy with ileo-anal-pouch anastomosis is the surgical treatment of choice. Leakage from the ileo-pouch anastomosis is the surgical treatment of choice. Leakage from the ileo-pouch-anastomosis can be a difficult to manage complication, which in some cases resists all attempts at local repair. A surprising complication of a 28 years old woman patient with an ileo-anal-pouch anastomotic fistula is presented. The fistula developed the 4th day postoperatively. Local irrigation and transanal drainage seemed to have a good result, the patient being examined after two weeks. During an apparently better evolution, after one month, the patient developed a transsacral fistula with local abscess and osteolysis. The ileo-anal-pouch anastomosis was converted to a less comfortable conventional ileostomy, but with good local and general final result. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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