Re: Entero-vaginal fistula

From: Dr Eberhard W Lisse (el@lisse.na)
Tue Feb 19 11:36:31 2008


Plug the vagina with several plugs. Then do a Methylene Blue Fleet Enema and you should see which of the plugs is stained, giving you a rough idea where it's at.

el

On Feb 19, 2008, at 19:04, Bernard Cristalli wrote:

> Gas may be issued just like farts without any fistula from large
> vaginas.
> If it's not that, try a fistulography, an exam with injection of dye
> in the rectum and even under anesthesia.
> Bernard
>
> Rafael Haciski a écrit :Gas can
>> 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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