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 LawrentschukAm 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, Catheterization
In Press
Case report
Am J Case Rep In Press; DOI: 10.12659/AJCR.946435
Case report
Am J Case Rep In Press; DOI: 10.12659/AJCR.947160
Case report
Am J Case Rep In Press; DOI: 10.12659/AJCR.947567
Case report
Am J Case Rep In Press; DOI: 10.12659/AJCR.948238
Most Viewed Current Articles
21 Jun 2024 : Case report
100,489
DOI :10.12659/AJCR.944371
Am J Case Rep 2024; 25:e944371
07 Mar 2024 : Case report
53,790
DOI :10.12659/AJCR.943133
Am J Case Rep 2024; 25:e943133
20 Nov 2023 : Case report
36,376
DOI :10.12659/AJCR.941424
Am J Case Rep 2023; 24:e941424
07 Jul 2023 : Case report
25,034
DOI :10.12659/AJCR.940200
Am J Case Rep 2023; 24:e940200