[Sigmoidoperianal fistula associated with diverticulitis and Cul de Sac situation--diagnostics and therapy].
We report on the case of a 64-year-old female patient who presented herself in our outpatient clinic because of a perianal fistula with recurrent abscesses. We describe the step diagnostics and the surgical treatment of the causal sigmoido-perianal fistula with diverticulitis and Cul de sac situation. Clinical examination, fistulography, colonoscopy and MRT were part of the precise representation and preparation for the high anterior rectosigmoidal resection with simultaneous rectopexy according to Sudeck which were performed without complications. The sigmoidoperianal fistula must be taken into account as a differential diagnosis of a recalcitrant high perianal fistula.
Weyand
G
G
Abteilung Koloproktologie Ltd. Arzt, St. Josefs-Hospital Wiesbaden. uweya@aol.com
Rinast
E
E
Englert
A
A
Houf
M
M
D000038:Abscess / Q000175:diagnosis / Q000601:surgery; D012809:Colon, Sigmoid / Q000473:pathology / Q000601:surgery; D003952:Diagnostic Imaging; D004239:Diverticulitis, Colonic / Q000175:diagnosis / Q000601:surgery*; D004312:Douglas' Pouch / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D007412:Intestinal Fistula / Q000175:diagnosis / Q000601:surgery*; D007415:Intestinal Obstruction / Q000175:diagnosis / Q000601:surgery*; D008875:Middle Aged; D012002:Rectal Diseases / Q000175:diagnosis / Q000601:surgery*; D012003:Rectal Fistula / Q000175:diagnosis / Q000601:surgery*; D012007:Rectum / Q000473:pathology / Q000601:surgery; D012810:Sigmoid Diseases / Q000175:diagnosis / Q000601:surgery*