Logo American Journal of Case Reports

Call: 1.631.629.4328
Mon-Fri 10 am - 2 pm EST

Contact Us

Logo American Journal of Case Reports Logo American Journal of Case Reports Logo American Journal of Case Reports

27 March 2008

Precise application of fibrin glue into a fistula between the rectal stump and urinary bladder – a new technique

Jason Ooi, John Stanley, Nathan Lawrentschuk

Am J Case Rep 2008; 9:178-181 :: ID: 849821

Abstract

Background: Surgical excision and primary closure of colovesical fistulas may not be feasible in patients with a history of previous surgery, radiation or having multiple co-morbidities. Endoscopic closure with fi brin glue is minimally invasive and can provide effective palliation of symptoms. We describe a new technique to accurately apply fibrin glue into the fistula opening.
Case Report: A double-barrelled application catheter (Duplocath- Baxter, Compton, UK) was passed through a colovesical fistula under vision to ensure reliable injection of fibrin glue along the entire fistula tract. The accurate application of fibrin glue within the fistula was instrumental in helping to manage a dificult fistula in a complex patient.
Conclusions: Endoscopic closure of genito-urinary fistula with fibrin glue remains an important option for first-line therapy. The principles of our technique may assist difficult recto-vesical fistula cannulation, facilitate accurate glue application and locate fistula opening in the rectum.

Keywords: Intestinal Fistula, Surgical procedures minimally invasive, fibrin tisssue adhesive, Endoscopy, Catheterization

Add Comment 0 Comments

672 3

In Press

05 Jun 2023 : Case report  USA

Successful Treatment of Recurrent Colonic Adenocarcinoma with Metastatic Tumor Thrombus in the Superior Mes...

Am J Case Rep In Press; DOI: 10.12659/AJCR.939156  

05 Jun 2023 : Case report  Japan

Delayed Right Ventricular Pacemaker Lead Perforation 9 Years After Implantation

Am J Case Rep In Press; DOI: 10.12659/AJCR.940291  

05 Jun 2023 : Case report  Japan

An 81-Year-Old Man Presenting with Asthenia and Anorexia After an Alcohol-Induced Hypoglycemic Coma and a D...

Am J Case Rep In Press; DOI: 10.12659/AJCR.939840  

02 Jun 2023 : Case report  USA

Single Pterional Burr Hole Coupled with Coagulation of the Middle Meningeal Artery for Management of a Chro...

Am J Case Rep In Press; DOI: 10.12659/AJCR.940045  

Most Viewed Current Articles

06 Dec 2021 : Case report  Brazil

Lipedema Can Be Treated Non-Surgically: A Report of 5 Cases

DOI :10.12659/AJCR.934406

Am J Case Rep 2021; 22:e934406

13 Jul 2022 : Case report  USA

Whistling Scrotum: An Unusual Presentation of Pneumomediastinum in the Setting of an Open Scrotal Wound

DOI :10.12659/AJCR.936441

Am J Case Rep 2022; 23:e936441

07 Dec 2021 : Case report  USA

Edwardsiella tarda: A Classic Presentation of a Rare Fatal Infection, with Possible New Background Risk Fac...

DOI :10.12659/AJCR.934347

Am J Case Rep 2021; 22:e934347

23 Feb 2022 : Case report  USA

Penile Necrosis Associated with Local Intravenous Injection of Cocaine

DOI :10.12659/AJCR.935250

Am J Case Rep 2022; 23:e935250

Your Privacy

We use cookies to ensure the functionality of our website, to personalize content and advertising, to provide social media features, and to analyze our traffic. If you allow us to do so, we also inform our social media, advertising and analysis partners about your use of our website, You can decise for yourself which categories you you want to deny or allow. Please note that based on your settings not all functionalities of the site are available. View our privacy policy.

American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923