PDF(Pubmed)
Abstract：
Enterovaginal fistulas (EF) are a rare, pathologic connection between the small bowel and vagina. EF commonly present with abnormal passage of stool, flatus, and purulence through the vaginal orifice, leading to increased risk of severe infections, and cause extreme discomfort for patients. A 70-year-old woman with a history of urothelial carcinoma was treated surgically, resulting in a persistent symptomatic EF. Her course was complicated by multiple failed surgical attempts to fistula closure. Ultimately, she was deemed a poor surgical candidate. Gastroenterology successfully closed her fistula using a cardiac occluder device. This case highlights an innovative solution to treat patients with refractory fistulas.
摘要：
肠阴道瘘（EF）是一种罕见的，小肠和阴道之间的病理联系。EF常表现为大便异常通过，胀气,通过阴道口进行净化，导致严重感染的风险增加，给病人带来极度的不适.一名有尿路上皮癌病史的70岁女性接受了手术治疗，导致持续的症状性EF。她的病程因多次瘘管闭合手术失败而变得复杂。最终,她被认为是一个可怜的手术候选人。胃肠病学使用心脏封堵器成功关闭了她的瘘管。此案例突出了一种治疗难治性瘘管患者的创新解决方案。
