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Diverticular disease of the sigmoid colon, complicated by a tubular intestinal fistula of the anterior abdominal wall and cicatricial stricture of the sigmoid colon (case report)

https://doi.org/10.18699/SSMJ20230113

Abstract

Aim of the study was to consider a clinical example of diverticular disease of the sigmoid colon, complicated by a tubular intestinal fistula of the anterior abdominal wall and cicatricial stricture of the sigmoid colon. Material and methods. Patient B., 76 years old, was admitted to the proctology department with complaints of the presence of a fistula with purulent discharge in the area of the surgical scar. Preoperative examination with MRI, colonoscopy, fistulography revealed diverticular disease of the sigmoid colon, complicated by a tubular intestinal fistula of the anterior abdominalwall and stricture of the sigmoid colon at the level of the internal opening of the fistula. Results. The operation was performed in the following volume - excision of the fistula, resection of the sigmoid colon bearing the fistula, with endto-end anastomosis in the area without diverticula.

About the Authors

M. N. Klimentov
Izhevsk State Medical Academy of Minzdrav of Russia; First Republican Clinical Hospital of Health Care of the Udmurt Republic
Russian Federation

Mikhail N. Klimentov, candidate of medical sciences

426034, Izhevsk, Kommunarov str., 281;

426039, Izhevsk, Votkinskoe hwy, 57



S. V. Sysoev
Izhevsk State Medical Academy of Minzdrav of Russia; First Republican Clinical Hospital of Health Care of the Udmurt Republic
Russian Federation

Sergey V. Sysoev, candidate of medical sciences

426034, Izhevsk, Kommunarov str., 281;

426039, Izhevsk, Votkinskoe hwy, 57



M. S. Chupina
Izhevsk State Medical Academy of Minzdrav of Russia
Russian Federation

Margarita S. Chupina

426034, Izhevsk, Kommunarov str., 281



References

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5. Klimentov M.N., Sysoev S.V., Chupina M.S., Ostanina K.A. Diverticular disease of the sigmoid colon, complicated by diverticulitis, paracolic abscess, psoas-abscess pathological exudate flowing through the left inguinal canal into the scrotum. Meditsinskiy vestnik Bashkortostana = Medical Herald of Bashkrtostan. 2020;15(3):119–122. [In Russian].


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ISSN 2410-2512 (Print)
ISSN 2410-2520 (Online)