Fistulas and sinus tracts: Radiographic evaluation, management, and outcome
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A retrospective review of 50 sinus tracts and 87 fistulas is presented. The etiologies, methods of radiographic evaluation including computed tomography and ultrasound, means of radiographic intervention, and disposition of sinus tracts and fistulas are discussed. Despite the newer imaging modalities, a sinogram or a fistulogram is still the best means of evaluating a sinus tract or fistula when an external communication is present. Computed tomography is helpful if exact spatial delineation of the tract is necessary or an associated abscess is suspected. Ultrasound examination is generally not useful, being limited by bowel gas and surgical incisions.
Key wordsFistulas and sinus tracts, diagnosis Gastrointestinal tract complications
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- 1.Halasz NA: Changing patterns in the management of small bowel fistulas.Am J Surg 136:61–64, 1978Google Scholar
- 2.Schwartz SI: External fistulas and stomal complications. In SI Schwartz (ed):Principles of Surgery, New York: McGraw-Hill, 1974, pp 484–486Google Scholar
- 3.Kokal W, Pickleman J, Steinberg JJ: Gastrocolic fistula in Crohn's disease.Surg Gynecol Obstet 146:701–704, 1978Google Scholar
- 4.Thoeny RH, Hodgson JR, Scudamore HH: Roentgenologic diagnosis of gastrocolic and gastrojejunocolic fistulas.AJR 83:876–881, 1960Google Scholar
- 5.Steele M, Deveney C, Burchell M: Diagnosis and management of colovesical fistulas.Dis Colon Rectum 22:27–30, 1979Google Scholar
- 6.Williams JD, Maddison FE, Imray TJ, Lawson RK: Transcatheter renal artery embolization in treatment of ureterocutaneous fistula.Urology 13:188–191, 1979Google Scholar