Recurrent Fistula between Ileal Pouch and Vagina—Successful Treatment with a Gracilis Muscle Flap
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-fis...
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| Format: | Article |
| Language: | English |
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Wiley
2009-01-01
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| Series: | Case Reports in Medicine |
| Online Access: | http://dx.doi.org/10.1155/2009/676392 |
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| author | Feride Aydin Claus Ferdinand Eisenberger Andreas Raffel Alexander Rehders Stefan Benedikt Hosch Wolfram Trudo Knoefel |
| author_facet | Feride Aydin Claus Ferdinand Eisenberger Andreas Raffel Alexander Rehders Stefan Benedikt Hosch Wolfram Trudo Knoefel |
| author_sort | Feride Aydin |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-4753200604db47ec9e435281abf008d4 |
| institution | Kabale University |
| issn | 1687-9627 1687-9635 |
| language | English |
| publishDate | 2009-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Medicine |
| spelling | doaj-art-4753200604db47ec9e435281abf008d42025-08-20T03:36:46ZengWileyCase Reports in Medicine1687-96271687-96352009-01-01200910.1155/2009/676392676392Recurrent Fistula between Ileal Pouch and Vagina—Successful Treatment with a Gracilis Muscle FlapFeride Aydin0Claus Ferdinand Eisenberger1Andreas Raffel2Alexander Rehders3Stefan Benedikt Hosch4Wolfram Trudo Knoefel5Department of General Visceral and Pediatric Surgery, Heinrich-Heine University, 40225 Düsseldorf, GermanyDepartment of General Visceral and Pediatric Surgery, Heinrich-Heine University, 40225 Düsseldorf, GermanyDepartment of General Visceral and Pediatric Surgery, Heinrich-Heine University, 40225 Düsseldorf, GermanyDepartment of General Visceral and Pediatric Surgery, Heinrich-Heine University, 40225 Düsseldorf, GermanyDepartment of General Visceral and Pediatric Surgery, Heinrich-Heine University, 40225 Düsseldorf, GermanyDepartment of General Visceral and Pediatric Surgery, Heinrich-Heine University, 40225 Düsseldorf, GermanyFistulae 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.http://dx.doi.org/10.1155/2009/676392 |
| spellingShingle | Feride Aydin Claus Ferdinand Eisenberger Andreas Raffel Alexander Rehders Stefan Benedikt Hosch Wolfram Trudo Knoefel Recurrent Fistula between Ileal Pouch and Vagina—Successful Treatment with a Gracilis Muscle Flap Case Reports in Medicine |
| title | Recurrent Fistula between Ileal Pouch and Vagina—Successful Treatment with a Gracilis Muscle Flap |
| title_full | Recurrent Fistula between Ileal Pouch and Vagina—Successful Treatment with a Gracilis Muscle Flap |
| title_fullStr | Recurrent Fistula between Ileal Pouch and Vagina—Successful Treatment with a Gracilis Muscle Flap |
| title_full_unstemmed | Recurrent Fistula between Ileal Pouch and Vagina—Successful Treatment with a Gracilis Muscle Flap |
| title_short | Recurrent Fistula between Ileal Pouch and Vagina—Successful Treatment with a Gracilis Muscle Flap |
| title_sort | recurrent fistula between ileal pouch and vagina successful treatment with a gracilis muscle flap |
| url | http://dx.doi.org/10.1155/2009/676392 |
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