The patient in this case study has a fistula in a concave area near his gastrostomy tube.
He underwent surgical repair of an enterovesical fistula .
Subsequent inflammation may result in a fistula between these structures and the passage of a gall stone into the bowel.
However, if a serious duct injury is present, a chronic fistula may develop and require surgical intervention.
On exploration, a fistulous tract was located within the deltopectoral interval.
Infliximab is used to achieve clinical improvement and induce remission in patients with moderate-to-severe luminal and fistular CD refractory to other treatments.
The effusion is often large and recurrent, arising from a fistulous tract between the pancreas and the pleural cavity, with or without pseudocyst formation.
Histologic examination of the biopsy tissue revealed skin overlying a fistulous space with a papillary surface.
Additionally, the coloring may be potentially useful in identifying the source of fistulous drainage.
Disease may also include chest wall invasion, with bony erosion, and draining cutaneous fistulas .