[Treatment by stent of a benign stricture of the colon complicated by a fistula].
We report on a case of a 69-year-old man with a benign stricture of the sigmoid colon due to diverticulosis, complicated by a colovesicular fistula. Due to severe co-morbidity, surgical excision of the fistula and resection of the sigmoid colon were not indicated. Instead, the stricture and the fistula were managed via the insertion of a self-expanding, uncoated metallic stent (SEMS). The clinical symptoms disappeared after insertion of the SEMS. We conclude that SEMS may be a possible therapeutic tool in selected cases of benign stricture of the colon, with or without fistula.
Lykke
Jakob
J
H:S Bispebjerg Hospital, Kirurgisk Gastroenterologisk Afdeling K, København NV. jly@dadlnet.dk
Hansen
Mark Berner
MB
Meisner
Søren
S
D006801:Humans; D007412:Intestinal Fistula / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D007415:Intestinal Obstruction / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011859:Radiography; D012810:Sigmoid Diseases / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D015607:Stents; D001747:Urinary Bladder Fistula / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*