Computed tomography fistulography of the sternum. A case report on interprofessional collaboration between radiologist and surgeon

Mine Onat; Per Hostrup Nielsen; Henrik Jensen

doi:10.1016/j.ijscr.2017.08.064

Computed tomography fistulography of the sternum. A case report on interprofessional collaboration between radiologist and surgeon

Mine Onat, Per Hostrup Nielsen, Henrik Jensen

Institut for Klinisk Medicin - Hjerte-, Lunge- og Karkirurgi

Publikation: Bidrag til tidsskrift/Konferencebidrag i tidsskrift /Bidrag til avis › Tidsskriftartikel › Forskning › peer review

1 Citationer (Scopus)

Abstract

INTRODUCTION: Trans sternal fistula can occur after sternotomy/heart surgery. Diagnosing this can be difficult.

PRESENTATION OF CASE: In this report, we present a unique case of a patient with infection of an ascending aortic prosthetic graft. This patient was oozing from the wound despite several revisions. Many fistulographies were performed before fistulography with surgeon and radiologist revealed a trans sternal fistula.

DISCUSSION: Infection with Propionibacterium acnes is often difficult to diagnose. This is in line with the present case, where a surgeon guided fistulography had to be performed followed by appropriate redo surgery with succesful subsequent sternal wound healing.

CONCLUSION: Our case demonstrates the importance of performing a fistulography with the presence of a surgeon, to obtain the best possible result.

Originalsprog	Engelsk
Tidsskrift	International Journal of Surgery Case Reports
Vol/bind	41
Sider (fra-til)	97-98
Antal sider	2
ISSN	2210-2612
DOI	https://doi.org/10.1016/j.ijscr.2017.08.064
Status	Udgivet - 2017

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10.1016/j.ijscr.2017.08.064

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5651541/pdf/main.pdfLicens: CC BY-NC-ND

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Citationsformater

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abstract = "INTRODUCTION: Trans sternal fistula can occur after sternotomy/heart surgery. Diagnosing this can be difficult.PRESENTATION OF CASE: In this report, we present a unique case of a patient with infection of an ascending aortic prosthetic graft. This patient was oozing from the wound despite several revisions. Many fistulographies were performed before fistulography with surgeon and radiologist revealed a trans sternal fistula.DISCUSSION: Infection with Propionibacterium acnes is often difficult to diagnose. This is in line with the present case, where a surgeon guided fistulography had to be performed followed by appropriate redo surgery with succesful subsequent sternal wound healing.CONCLUSION: Our case demonstrates the importance of performing a fistulography with the presence of a surgeon, to obtain the best possible result.",

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Computed tomography fistulography of the sternum. A case report on interprofessional collaboration between radiologist and surgeon. / Onat, Mine; Hostrup Nielsen, Per; Jensen, Henrik.
I: International Journal of Surgery Case Reports, Bind 41, 2017, s. 97-98.

Publikation: Bidrag til tidsskrift/Konferencebidrag i tidsskrift /Bidrag til avis › Tidsskriftartikel › Forskning › peer review

TY - JOUR

T1 - Computed tomography fistulography of the sternum. A case report on interprofessional collaboration between radiologist and surgeon

AU - Onat, Mine

AU - Hostrup Nielsen, Per

AU - Jensen, Henrik

PY - 2017

Y1 - 2017

N2 - INTRODUCTION: Trans sternal fistula can occur after sternotomy/heart surgery. Diagnosing this can be difficult.PRESENTATION OF CASE: In this report, we present a unique case of a patient with infection of an ascending aortic prosthetic graft. This patient was oozing from the wound despite several revisions. Many fistulographies were performed before fistulography with surgeon and radiologist revealed a trans sternal fistula.DISCUSSION: Infection with Propionibacterium acnes is often difficult to diagnose. This is in line with the present case, where a surgeon guided fistulography had to be performed followed by appropriate redo surgery with succesful subsequent sternal wound healing.CONCLUSION: Our case demonstrates the importance of performing a fistulography with the presence of a surgeon, to obtain the best possible result.

AB - INTRODUCTION: Trans sternal fistula can occur after sternotomy/heart surgery. Diagnosing this can be difficult.PRESENTATION OF CASE: In this report, we present a unique case of a patient with infection of an ascending aortic prosthetic graft. This patient was oozing from the wound despite several revisions. Many fistulographies were performed before fistulography with surgeon and radiologist revealed a trans sternal fistula.DISCUSSION: Infection with Propionibacterium acnes is often difficult to diagnose. This is in line with the present case, where a surgeon guided fistulography had to be performed followed by appropriate redo surgery with succesful subsequent sternal wound healing.CONCLUSION: Our case demonstrates the importance of performing a fistulography with the presence of a surgeon, to obtain the best possible result.

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DO - 10.1016/j.ijscr.2017.08.064

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EP - 98

JO - International Journal of Surgery Case Reports

JF - International Journal of Surgery Case Reports

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Computed tomography fistulography of the sternum. A case report on interprofessional collaboration between radiologist and surgeon

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