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

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  • Mine Onat
  • Per Hostrup Nielsen, Institut for Klinisk Medicin, hjerte-lunge-karkirurgisk afdeling T, Aarhus Universitetshospital, Danmark
  • Henrik Jensen

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.

OriginalsprogEngelsk
TidsskriftInternational Journal of Surgery Case Reports
Vol/bind41
Sider (fra-til)97-98
Antal sider2
ISSN2210-2612
DOI
StatusUdgivet - 2017

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