Discover Top Posts Tagged with #fistulae

Coronary Cameral Fistulae a Scarce Entity by Ranjan Modi in ACR - Lupine Publishers

Coronary artery fistulae are communication between coronary arteries and other structures like cardiac chamber (coronary cameral fistula) or a vein (coronary arteriovenous fistula). Coronary fistulae account for 0.2 to 0.4% of the congenital cardiac abnormalities. We present a 20 day old baby with coronary cameral fistula of the right coronary ostium which was draining into the right ventricle then right atrium and into the pulmonary artery.

https://www.lupinepublishers.com/acr/fulltext/ACR.MS.ID.000101.php

#Fistulae #Pulmonary artery #Cardiac abnormalities

Orofacial Fistulae associated with Crohn’s Disease.

These pictures show a 28-year-old man presented with a 2-year history of facial lesions with discharge that had developed 6 years after a diagnosis of Crohn’s disease, despite the administration of immunosuppressant and biologic therapies. He had fistulating disease and had previously undergone surgical resections that resulted in an ileostomy and a rectal stump. Magnetic resonance imaging of the orofacial region and radiography performed after the infusion of the sinus tract with radiopaque material revealed three orocutaneous fistulae arising from inflamed oral mucosa associated with dental disease. Extraction of the teeth and curettage of the sinus tract revealed granulomatous inflammation with no infective organisms. Treatment with antibiotics after extraction of the teeth resulted in resolution of the fistulae. At follow-up after 1 year, the patient had no recurrence of orofacial disease and underwent a successful completion proctectomy. He is currently being treated with adalimumab and methotrexate and has had no obvious recurrence of disease.

Crohn’s disease is characterized by chronic intestinal granulomatous inflammation and it is a type of inflammatory bowel disease (IBD) that may affect any part of the gastrointestinal tract, from the mouth to the anus. Granulomatous conditions affecting the orofacial region are rare. Signs and symptoms often include abdominal pain, diarrhea (which may be bloody if inflammation is severe), fever, and weight loss.

Crohn's disease can lead to several mechanical complications within the intestines, including obstruction, fistulae, and abscesses. A fistula is an abnormal connection between two hollow spaces (technically, two epithelialized surfaces) and it results from the granulomatous inflammation in that area.

(Source: The New England Journal of Medicine).