Gaetini A, Camandona M, Giaccone M, Bertero D, Iuliani R
Dipartimento di Fisiopatologia Clinica, Università degli Studi di Torino.
Ann Ital Chir. 1998 Jul-Aug;69(4):445-50.
Fistulas in colon diverticular disease are a not uncommon complication, that arise spontaneously in the evolution of a diverticulitis, and also as a complicated dehiscence of surgical anastomosis. The intermediate step of a fistula is a deep abscess that finds through the parietal layers of abdomen or towards other adjacent organs. So the surgeon can be confronted with external and internal and complex fistulas. As for diagnostic manoeuvres, the surgical choices are outside a rigid schedule, and is on the personal sensibility of the surgeon.
结肠憩室病中的瘘管是一种并不罕见的并发症,它可在憩室炎的发展过程中自发出现,也可作为手术吻合口的复杂裂开而出现。瘘管形成的中间步骤是一个深部脓肿,它可穿透腹壁各层或通向其他相邻器官。因此,外科医生可能会面临外部、内部及复杂瘘管的情况。至于诊断方法,手术选择并不遵循严格的时间表,而是取决于外科医生的个人判断。