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Re: Entero-vaginal fistulaFrom: FRANCES WREN (fwren@shaw.ca)Tue Feb 19 09:36:49 2008
----a3459b9951643893a5d Content-Type: text/plain; charset=us-ascii Content-Disposition: inline Content-Transfer-Encoding: 7bit a big one you can see on vag exam...but a tiny one sometimes just putting ones finger in the rectum with the speculum sideways..or making the posterior vag wall visible and stretched it is possible to see a tiny pink bit of rectal mucosa pouting out ..the one can try and gently pass a lacrimal probe... if it is really high up it is a lot more difficult to find...but the ones i have seen have not been very high if they have been related to childbirth. the high ones seem to have been related to hysts...radiation etc. frances wren
>----- Original Message -----
> I am having a pt referred to me for evaluation of "passing gas ----a3459b9951643893a5d Content-Type: text/html; charset=us-ascii Content-Disposition: inline Content-Transfer-Encoding: 7bit <DIV>a big one you can see on vag exam...but a tiny one sometimes just putting ones finger in the rectum with the speculum sideways..or making the posterior vag wall visible and stretched it is possible to see a tiny pink bit of rectal mucosa pouting out ..the one can try and gently pass a lacrimal probe...</DIV> <DIV>if it is really high up it is a lot more difficult to find...but the ones i have seen have not been very high if they have been related to childbirth.</DIV> <DIV>the high ones seem to have been related to hysts...radiation etc.</DIV>
><DIV>frances wren<BR><BR>----- Original Message -----<BR>From: Rafael Haciski <haciski@earthlink.net><BR>Date: Tuesday, February 19, 2008 9:27 am<BR>Subject: Entero-vaginal fistula<BR>To: Multiple recipients of list OB-GYN-L <ob-gyn-l@mail.obgyn.net><BR><BR>> I am having a pt referred to me for evaluation of "passing gas <BR>> per <BR>> vagina"<BR>> <BR>> Not having seen a fistula since residency days, I am looking <BR>> for <BR>> advice on which diagnostic modalities may be best suited <BR>> to <BR>> confirming such a fistula (beyond the physical exam at which <BR>> time one <BR>> may see the actual fistula, stool etc)., to delineate it's <BR>> source, <BR>> course etc.<BR>> <BR>> <BR>> Rafael Haciski MD FACOG<BR>> Anchor Health Centers GYN<BR>> 800 Goodlette Rd #360<BR>> 239-643-8780 office<BR>> 239-571-0292 cell<BR>> Naples, FL.<BR>> <BR>> <BR>> </DIV> ----a3459b9951643893a5d--
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