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1 2 3 › 3

2 Endoscopy
L Colon IBD and other diseases
U Surgical
6 Radiology
stricture, ulcerative colitis, stenosis, mri, sigmoidectomy, colorectal anastomosis, pre anastomotic fistula, methylene blue, giulio sodani

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Author: LISI Daniele, Roma Italy

A 79-year-old man with a history of ulcerative colitis and a previous sigmoidectomy for severe diverticular disease presented with abdominal pain and bloody diarrhea.

Colonoscopy revealed a stricture of the colorectal anastomosis that could not be overcome with a pediatric colonoscope, but only with a standard gastroscope.

Endoscopy suspected a pre-anastomotic fistula, which was confirmed by both local instillation of methylene blue and subsequent MRI. (courtesy of Dr Giulio SODANI)

full video on YOUTUBE   https://youtu.be/GKHmdPSue34   

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