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A rare case of Post traumatic jejuno-sigmoidal fistula - Radiological and Imaging approach

RAFEEVUDH DHARAJA A K

Abstract


We report a rare case of post-traumatic enterocolic fistula between jejunum and sigmoid colon which occurred as a delayed complication of blunt injury abdomen. The patient had steering wheel injury in a road traffic accident six months back. At that time he was treated conservatively. Following a latent period he had developed jejunal stricture causing intestinal  obstruction. He had also developed perforation in the distal part of obstructed jejunum and also perforation in the sigmoid colon because of mesenteric injury and ischemia. This had lead onto the formation of jejunosigmoidal fistula.

 


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References


Albu E, Gerst PH, Ene C, Carvajal S, Rao SK. Jejunal-rectal fistula as a complication of postoperative radiotherapy. Am Surg 1990; 56:697-699. Medline

Borut Marincek, Robert F. Dondelinger. Emergency Radiology: Imaging and Intervention. Springer Science & Business Media; 2007. P 88,89


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