Recurrent Fistula between Ileal Pouch and Vagina—Successful Treatment with a Gracilis Muscle Flap
Joint Authors
Eisenberger, Claus Ferdinand
Raffel, Andreas
Aydin, Feride
Knoefel, Wolfram Trudo
Hosch, Stefan Benedikt
Rehders, Alexander
Source
Issue
Vol. 2009, Issue 2009 (31 Dec. 2009), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2009-06-14
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Fistulae between an ileal pouch and the vagina are an uncommon complication of ileal pouch-anal anastomosis following proctocolectomy and mucosectomy in patients with familial adenomatous polyposis coli.
Several reports describe the successful use of muscle flaps to close recurrent pouch-vaginal-fistulae (PVF).
However, series only contain small numbers and an optimal management has not yet been determined.
We report the case of a 26-year old woman with a third recurrence of a PVF after proctocolectomy for treatment of familial adenomatous polyposis in October 2005.
Because local approaches failed, definitive closure of the fistula was achieved by interposition of a gracilis muscle flap between the pouch-anal anastomosis and the vagina.
The postoperative course was uneventful; the patient was discharged 7 days after surgery and remained free of recurrence and symptomatic complaints for 22 months now.
The gracilis muscle flap proved to be an effective method in the treatment of recurrent PVF.
American Psychological Association (APA)
Aydin, Feride& Eisenberger, Claus Ferdinand& Raffel, Andreas& Rehders, Alexander& Hosch, Stefan Benedikt& Knoefel, Wolfram Trudo. 2009. Recurrent Fistula between Ileal Pouch and Vagina—Successful Treatment with a Gracilis Muscle Flap. Case Reports in Medicine،Vol. 2009, no. 2009, pp.1-4.
https://search.emarefa.net/detail/BIM-489670
Modern Language Association (MLA)
Aydin, Feride…[et al.]. Recurrent Fistula between Ileal Pouch and Vagina—Successful Treatment with a Gracilis Muscle Flap. Case Reports in Medicine No. 2009 (2009), pp.1-4.
https://search.emarefa.net/detail/BIM-489670
American Medical Association (AMA)
Aydin, Feride& Eisenberger, Claus Ferdinand& Raffel, Andreas& Rehders, Alexander& Hosch, Stefan Benedikt& Knoefel, Wolfram Trudo. Recurrent Fistula between Ileal Pouch and Vagina—Successful Treatment with a Gracilis Muscle Flap. Case Reports in Medicine. 2009. Vol. 2009, no. 2009, pp.1-4.
https://search.emarefa.net/detail/BIM-489670
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-489670