Re: Entero-vaginal fistula
From: D. Glen Elrod, MD (dr99645@yahoo.com)
Wed Mar 5 15:23:06 2008
Rafael,
Have you seen this patient yet? I have this exact patient coming to see
me tomorrow. I'm curious if anything that was listed actually worked on
this patient.
Mine has known diverticular disease as her risk factor for her fistula.
Glen
At Wed, 20 Feb 2008, Raymond Stephen wrote:
>
>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.
>
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