fistula

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Related to Rectovaginal fistula: rectocele, Crohn's disease

fistula

(fĭs`cho͝olə), abnormal, usually ulcerous channellike formation between two internal organs or between an internal organ and the skin. It may follow a surgical procedure with improper healing, or it may be caused by injury, abscess, or infection with penetration deep enough to reach another organ or the skin. When open at only one end it is called an incomplete fistula or sinus. The most common sites of fistula are the rectum and the urinary organs, but almost any part of the body may be affected. Rectal fistulas are often associated with colitis, cancercancer,
in medicine, common term for neoplasms, or tumors, that are malignant. Like benign tumors, malignant tumors do not respond to body mechanisms that limit cell growth.
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, sexually transmitted diseasessexually transmitted disease
(STD) or venereal disease,
term for infections acquired mainly through sexual contact. Five diseases were traditionally known as venereal diseases: gonorrhea, syphilis, and the less common granuloma inguinale, lymphogranuloma venereum, and
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, and other disorders. Usually a fistula requires surgery. In horses an abscess on the withers from chafing and infection is termed a fistula.

Fistula

 

an abnormal passage between hollow organs or between an organ, body cavity, or focus of disease and the body surface. Usually in the form of a narrow canal lined with epithelium or granulations, it continuously discharges pus, mucus, bile, urine, or feces.

Congenital fistulas, for example, umbilical fistulas, are developmental anomalies. Acquired fistulas result from such chronic inflammations as osteomyelitis, from tumors, or from injuries. Fistulas are usually treated by surgery.

It is sometimes necessary to create artificial fistulas surgically. They may connect hollow organs, in which case they are called internal fistulas, or anastomoses. An example is gastroenteroanastomosis in cicatricial stenosis of the outlet of the stomach.

Gastrostomy is the establishment of an external fistula, or stoma, for artificial feeding. External fistulas also permit the discharge of urine or feces. For example, cystostoma is a fistula of the urinary bladder formed when the urethra is compressed by a tumor. With external fistulas, care must be taken to avoid irritating or infecting the surrounding skin.

REFERENCE

Struchkov, V. I. Gnoinaia khirurgiia, 2nd ed. Moscow, 1967.

fistula

[′fis·chə·lə]
(medicine)
An abnormal congenital or acquired communication between two surfaces or between a viscus or other hollow structure and the exterior.

fistula

In ancient Roman construction, a water pipe of lead or earthenware.

fistula

Pathol an abnormal opening between one hollow organ and another or between a hollow organ and the surface of the skin, caused by ulceration, congenital malformation, etc.
References in periodicals archive ?
* Human amniotic membrane (HAM) has already been applied in multiple sites of the gastrointestinal tract, such as the duodenum, colon, and rectovaginal fistula.
Saclarides, "Rectovaginal fistula," The Surgical Clinics of North America, vol.
It is tempting to speculate that our patient had suffered from occult focal colonic inflammatory disease that led to her abscess and subsequent rectovaginal fistula, for diverticulitis has been reported as a predisposing cause of ovarian abscess.[5] Yet our patient was relatively young to manifest colonic diverticular disease and had no suggestive clinical history.
In this study, we have compared the outcomes of the sphincteroplasty and fistulectomy procedures in three different rectovaginal fistula groups, such as simple rectovaginal fistula, rectovaginal fistulas associated with chronic inflammatory and autoimmune disease, and cases with at least one failed repair attempt together with inflammatory diseases.
% 1 Haemorrhage 1 0.79% 2 Severe pain 2 1.57% 3 Rectovaginal Fistula 1 1.57% 4 Abdominal Bloating 1 0.79% 5 Fever (urinary tract infection) 4 3.15%
First of all, it emerged that, regardless of the expertness and reputation of the surgeon who performed the procedure--varying from the last minute coloproctologist to the most famous congress chairperson--the type of postoperative morbidity was in the range of that reported in the literature, as follows: no case of death associated with the procedure and just two cases requiring intestinal diversion with stoma construction due to rectovaginal fistula and pelvic sepsis, respectively; the latter was related to rectal perforation after rectotomy.
"It has a learning curve, and because of the potential serious complications--including pelvic sepsis, rectovaginal fistula, and even death--physicians need special credentialing to perform it."
Between December 2012 and June 2014 (when funding for this study ended), a convenience sample of women who presented for surgical care of OF (defined as vesicovaginal fistula and/or rectovaginal fistula that developed during or immediately after labor) were recruited for participation as cases.
She developed a rectovaginal fistula and other complications.
The case was tentatively diagnosed as atresia ani associated with congenital fused labia and rectovaginal fistula.
The consequences of obstetric or prolonged labor can include an obstetric fistula that develops as a result of the prolonged pressure of the presenting fetal part on the pelvis over days of labor, leading to a vesicovaginal fistula, a rectovaginal fistula, or both [2].