Late failure of a stapled small-bowel exclusion procedure.
Late failure of a stapled small-bowel exclusion without transection of the bowel resulted in recurrence of an enterovaginal fistula. This necessitated reoperation and division of the small bowel, following which the patient has remained well. A review of the literature indicates that this problem might occur in similar procedures and suggests that the bowel should not only be cross stapled, but transected when performing exclusion procedures.
D000368:Aged; D005260:Female; D006801:Humans; D007077:Ileal Diseases / Q000601:surgery*; D007082:Ileum / Q000601:surgery*; D007412:Intestinal Fistula / Q000209:etiology / Q000601:surgery*; D011183:Postoperative Complications; D012008:Recurrence; D012086:Reoperation; D013528:Surgical Staplers; D014624:Vaginal Fistula / Q000209:etiology / Q000601:surgery*