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Re: Entero-vaginal fistula From: Raymond Stephen (Stephen.Raymond@dhhs.tas.gov.au) Tue Feb 19 16:02:09 2008 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: AllanHo@aol.com: "Re: Episiotomy question" Previous message: Dean Huffman .: "More couples go abroad for IVF treatments due to cost, age barriers." In reply to: Rafael Haciski: "Entero-vaginal fistula" Next in thread: art fougner, md: "Re: Eminence vs. Evidence" First question should be, what in the history could have caused a fistula? They don't arise spontaneously. Then look for the hole. If you don't see it, the "gas" is probably entrapped air. If you still think there is a hole even though you haven't seen it, then an EUA with a finger stretching the rectovaginal septum from the rectal side. Usually the fistulous tract is scarred and contracted and that deformity can be felt even if not seen. Steve ________________________________ From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Rafael -- ________________________________ Haciski Sent: Wednesday, 20 February 2008 3:28 AM To: Multiple recipients of list OB-GYN-L Subject: Entero-vaginal fistula I am having a pt referred to me for evaluation of "passing gas per vagina" Not having seen a fistula since residency days, I am looking for advice on which diagnostic modalities may be best suited to confirming such a fistula (beyond the physical exam at which time one may see the actual fistula, stool etc)., to delineate it's source, course etc. Rafael Haciski MD FACOG Anchor Health Centers GYN 800 Goodlette Rd #360 239-643-8780 office 239-571-0292 cell Naples, FL. CONFIDENTIALITY NOTICE AND DISCLAIMER The information in this transmission may be confidential and/or protected by legal professional privilege, and is intended only for the person or persons to whom it is addressed. If you are not such a person, you are warned that any disclosure, copying or dissemination of the information is unauthorised. If you have received the transmission in error, please immediately contact this office by telephone, fax or email, to inform us of the error and to enable arrangements to be made for the destruction of the transmission, or its return at our cost. No liability is accepted for any unauthorised use of the information contained in this transmission. If the transmission contains advice, the advice is based on instructions in relation to, and is provided to the addressee in connection with, the matter mentioned above. Responsibility is not accepted for reliance upon it by any other person or for any other purpose. Next message: AllanHo@aol.com: "Re: Episiotomy question" Previous message: Dean Huffman .: "More couples go abroad for IVF treatments due to cost, age barriers." In reply to: Rafael Haciski: "Entero-vaginal fistula" Next in thread: art fougner, md: "Re: Eminence vs. Evidence"

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