hepatogastrische Fistel
Sporadic
hepatogastric fistula - A rare complication of liver abscess - A case report. Axial Abdomen CECT - Demonstrates communication (orange arrow) between the abscess cavity in left hepatic lobe and stomach through breach in the lesser curvature.
Sporadic
hepatogastric fistula - A rare complication of liver abscess - A case report. Coronal Abdomen CECT - Demonstrates communication (orange arrow) between the abscess cavity in left hepatic lobe and stomach through breach in the lesser curvature.
hepatogastrische Fistel
gastrointestinale Fistelbildungen Radiopaedia • CC-by-nc-sa 3.0 • de
A gastrointestinal fistula is an abnormal connection between the gut and another epithelial / endothealial - lined surface, such as another organ system, the skin surface, or elsewhere along the gastrointestinal tract. Some authors exclude fistulas involving the large bowel and esophagus when classifying or describing gastrointestinal fistulas.
Pathology
Gastro-intestinal fistulas can be congenital or acquired in nature. They are generally named according to their participating anatomic components, and virtually every imaginable combination has been reported. Examples include
- gut - gut:
- enteroenteric fistula
- coloenteric fistula
- coloduodenal fistula
- cologastric fistula
- gut - skin:
- enterocutaneous fistula
- gastrocutaneous fistula
- colocutaneous fistula
- certain perianal fistulas
- gut - bladder:
- enterovesical fistula
- colovesical fistula / recto-vesical fistula
- gut - ureter:
- ureterocolic fistula
- ureteroenteric fistula
- ureteroduodenal fistula
- gut - kidney:
- renoenteric fistula
- renocolic fistula
- gut - vagina:
- enterovaginal fistula
- colovaginal fistula
- anovaginal fistula
- rectovaginal fistula: commonest GI fistula involving the female genital tract
- gut - biliary tract:
- cholecystoduodenal fistula: commonest to involve the biliary tract
- cholecystocolic fistula
- choledochoduodenal fistula
- choledochocolic fistula
- gut - vascular system:
Causes
Their causes can be as diverse as their types and include
- acquired:
- common:
- post-surgical: considered most common cause
- Crohn disease
- diverticulitis
- less common:
- due to abdominal malignancies: colon cancer
- radiation therapy
- due to foreign bodies
- intra-abdominal trauma
- atypical intra-abdominal infections:
- tuberculosis
- histoplasmosis
- actinomycosis
- xanthogranulomatous pyelonephritis
- amoebiasis
- echinococcosis
- lymphogranuloma venereum
- cholecystitis
- pancreatitis
- appendicitis
- common:
- congenital:
- congenital dorsal-enteric fistula: associated with split notochord syndrome
- congenital enteroenteric associated with an omphalocele
Siehe auch:
Assoziationen und Differentialdiagnosen zu hepatogastrische Fistel:
